摘要
目的 评估改良后外侧入路锁定钢板内固定术治疗外踝及后踝骨折的疗效。方法 选取2021年1月—2023年12月本院收治的符合纳入标准的50例外踝及后踝骨折患者,采用随机分组方法将其分为治疗组和对照组,每组25例。治疗组接受改良后外侧入路锁定钢板内固定术,而对照组接受常规锁定钢板内固定术。在拆石膏前以及拆石膏后,分别对两组患者的疼痛程度、踝关节肿胀情况进行评估,并在术后3个月时对踝关节功能进行评分。同时,记录两组患者的骨折愈合时间。结果 治疗组在拆石膏后7 d、1个月和3个月时的VAS评分显著低于对照组(P<0.05);术后3个月,两组AOFAS评分均较术前升高,且治疗组高于对照组(P<0.05)。拆石膏后7 d、1个月、3个月,两组踝关节肿胀程度评分均较拆石膏后1 d降低,且治疗组优于对照组(P<0.05)。治疗组骨折愈合时间明显短于对照组(P<0.05)。结论 改良后外侧入路锁定钢板内固定术治疗外踝及后踝骨折的效果显著,临床预后较好,适宜推广应用。
Objective This study aims to evaluate the curative effect of modified posterolateral approach locking plate internal fixation in the treatment of ankle and posterior malleolar fractures.Methods Fifty patients with ankle and posterior malleolar fractures who met the inclusion criteria and were treated in our hospital from January 2021 to December 2023 were selected and randomly divided into a treatment group and a control group.The treatment group underwent modified posterolateral approach locking plate internal fixation,while the control group received conventional locking plate internal fixation.All patients were immobilized with braces postoperatively,and anti-inflammatory analgesics and decongestants were routinely used during rehabilitation,along with functional exercise guidance.Pain levels and ankle swelling were assessed before cast removal and after cast removal for both groups,and ankle function was scored at 3 months postoperatively.Additionally,fracture healing time was recorded for both groups.Results The pain VAS scores of the treatment group were significantly lower than those of the control group at 1 and 3 months after plaster removal(P<0.05);Three months after surgery,both groups showed an increase in AOFAS scores compared to preoperative levels,with the treatment group being higher than the control group(P<0.05).After 1 and 3 months of plaster removal,the ankle joint swelling scores of both groups decreased compared to 1 day after plaster removal,and the treatment group was better than the control group(P<0.05).The healing time of fractures in the treatment group was significantly shorter than that in the control group(P<0.05).Conclusion The improved lateral approach locking plate internal fixation surgery has a significant effect on the treatment of lateral and posterior ankle fractures,with good clinical prognosis,and is suitable for promotion and application.
作者
黄裕华
HUANG Yuhua(The Third People's Hospital of Haimen District,Haimen,Jiangsu 226151)
出处
《智慧健康》
2025年第14期99-101,105,共4页
Smart Healthcare
关键词
外踝及后踝骨折
改良后外侧入路
锁定钢板内固定术
Lateral malleolar posterior malleolar fracture
Modified posterolateral approach
Locking plate internal fixation
