摘要
目的探讨闭合复位经皮空心螺钉内固定治疗旋后-外旋型踝关节骨折的临床效果。方法选取我院2013年5月—2016年7月收治的旋后-外旋型踝关节骨折68例,随机分为对照组和观察组,每组各34例。对照组采用传统切开复位术,观察组采用闭合复位经皮空心螺钉内固定术。记录手术时间、术中出血量、住院时间及骨折愈合时间,观察并发症发生情况,评价临床疗效及踝关节功能恢复情况。结果观察组、对照组临床总有效率分别为97.06%、82.35%,踝关节功能优良率分别为97.06%、88.24%,并发症发生率分别为8.82%、29.41%,差异均有统计学意义(P<0.05);与对照组比较,观察组手术时间、术中出血量、住院时间及骨折愈合时间均降低,差异有统计学意义(P<0.05)。结论闭合复位经皮空心螺钉内固定治疗旋后-外旋型踝关节骨折临床效果较好,对机体损伤小,且并发症发生率低。
Objective To investigate clinical effect of closed reduction and percutaneous cannulated screw internal fixation in treatment of patients with supination external rotation ankle fractures. Methods A total of 68 patients with supina-tion external rotation ankle fractures admitted during May 2013 and July 2016 were divided into observation group （ n=34 ） and control group （n=34）. The control group was treated with traditional open reduction, while observation group was treated with closed reduction and percutaneous cannulated screw internal fixation. Operative time, intraoperative volume of blood loss, hospitalization time and fracture healing time were recorded, and occurrence of complications was observed, and clinical effects and function recovery of ankle joint were evaluated. Results The total effective rates were 97. 06% in observation group and 82. 35% in control group, and the excellent rates of ankle joint function were 97. 06% in observation group and 88. 24% in control group, and incidence rates of complications were 8. 82% in observation group and 29. 41% in control group, and the difference was statistically significant （P〈0. 05）. Compared with those in control group, values of operative time, intraoperative volume of blood loss, hospitalization time and fracture healing time in observation group were significantly lower （P〈0. 05）. Conclusion Closed reduction and percutaneous cannulated screw internal fixation in treatment of patients with supination external rotation ankle fractures can achieve good effect, little injury to the body and low incidence rate of com-plications.
作者
陈喜顺
贾铭
CHEN Xi-shun;JIA Ming(Department of Osteology,Jiangong Hospital of Beijing,Beijing 100054,China;Department of Osteology,the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510405,China)
出处
《临床误诊误治》
2017年第12期64-67,共4页
Clinical Misdiagnosis & Mistherapy
基金
广东省科学技术厅科技计划项目(2014-807)
关键词
踝关节骨折
闭合复位经皮空心螺钉内固定
疗效比较研究
Ankle fracture
Closed reduction and percutaneous cannulated screw internal fixation
Comparative ef-fectiveness research
