摘要
目的探讨切开复位内固定与手法复位外固定治疗Ⅲ、Ⅳ度踝关节骨折的效果。方法选择本院收治的Ⅲ、Ⅳ度踝关节骨折患者60例,随机分为两组,观察组30例患者采用切开复位内固定治疗,对照组30例患者采用手法复位外固定治疗,采用Mazur评分评价踝关节功能的改善情况。结果观察组Ⅲ度踝关节骨折患者的优良率明显高于对照组,差异有统计学意义(P<0.05);两组Ⅳ度踝关节骨折患者优良率比较,差异无统计学意义(P>0.05)。结论切开复位内固定治疗Ⅲ度踝关节骨折的效果好,对Ⅳ度踝关节骨折无明显优势,建议Ⅳ度骨折保守治疗。
Objective To investigate the effects of open reduction internal fixation and manual reduction external fixa- tion in the treatment of Ⅲ,IV degree ankle fracture.Methods 60 patients with Ⅲ, Ⅳ degree ankle fracture admitted to our hospital were randomly divided into two groups,30 patients of observation group were given open reduction and in- ternal fixation,30 patients of control group were given manual reduction and plaster external fixation,Mazur ankle score was used to evaluat improvement of ankle joint function.Results In patients with m degree ankle fracture,the excellent rate of observation group was significantly higher than that of control group,with statistical difference （P〈0.05）.In pa- tients with IV degree ankle fracture,the excellent rate between two groups was compared,with no statistical difference （P〉0.05）.Conclusion The effect of open reduction internal fixation in the treatment of Ⅲ degree ankle fracture is good, but it has no significant advantage in the treatment of Ⅳ degree ankle fracture,so conservative treatment should be rec- ommended in patients with Ⅳ degree ankle fracture.
出处
《中国当代医药》
2014年第7期159-160,163,共3页
China Modern Medicine
关键词
踝关节骨折
切开复位内固定
手法复位外固定
Ankle fracture
Open reduction and internal fixation
Manual reduction and external fixation
