前外侧入路联合胫骨远端L形钢板内固定治疗胫腓骨远端骨折的临床研究

Clinical study on the treatment of distal tibiofibular fractures by anterolateral approach combined with L-shaped plate internal fixation

目的探讨前外侧入路联合胫骨远端L形钢板内固定治疗胫腓骨远端骨折的临床疗效。方法选取2021年1月至2022年12月抚州市第一人民医院收治的60例胫腓骨远端骨折患者作为研究对象,根据治疗方案的不同分为对照组与研究组,每组30例。对照组采用传统术式入路治疗,研究组采用前外侧入路联合胫骨远端L形钢板内固定治疗。比较两组踝关节功能、术后引流量、术中出血量、手术时间、并发症发生情况。结果研究组踝关节功能恢复优良率高于对照组,差异有统计学意义(P<0.05)。两组术中出血量、手术时间、术后引流量比较差异无统计学意义。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论前外侧入路联合胫骨远端L形钢板内固定治疗胫腓骨远端骨折疗效显著,可降低患者并发症发生风险,有利于恢复踝关节功能,明显提升患者恢复效果,临床应用价值较高。

Objective To investigate the clinical effect of the treatment of distal tibiofibular fractures by anterolateral approach combined with L-shaped plate internal fixation.Methods 60 patients with distal tibia and fibula fractures in the First People's Hospital of Fuzhou from January 2021 to December 2022 were enrolled as the research subjects,and they were divided into the control group and the study group according to different treat-ment plans,with 30 cases in each group.The control group was treated with traditional surgical approach,and the study group was treated with antero-lateral approach combined with distal tibial L-shaped plate internal fixation.The ankle joint function,postoperative drainage volume,intraoperative blood loss,operation time and complications were compared between the two groups.Results The excellent and good rate of ankle function recovery in the study group was higher than that in the control group,the difference was statistically significant(P<0.05).There were no significant differences in intraoperative blood loss,operation time and postoperative drainage volume between the two groups.The incidence of total complications in the study group was lower than in the control group,the difference was statistically significant(P<0.05).Conclusion Anterolateral approach combined with distal tibial L-shaped plate internal fixation is effective in the treatment of distal tibial and fibula fractures,which can reduce the risk of complica-tions,help to restore ankle joint function,significantly improve the recovery effect of patients,and has high clinical application value.