踝关节镜下治疗三踝骨折的疗效分析

Analysis of curative effect of ankle arthroscopic treatment on trimalleolar fracture

目的对踝关节镜下治疗三踝骨折的疗效进行观察与探讨。方法对2012年8月~2014年12月期间在我院接受治疗的62例三踝骨折患者进行临床的相关研究,按照治疗方式的不同分为两组,对照组患者进行传统的切开复位内固定治疗,研究组患者进行踝关节镜下治疗,分析两组三踝骨折患者的临床疗效及术后并发症。结果研究组患者的治疗优良率（96.77%）明显的高于对照组患者（77.41%）,组间差异有统计学意义（P〈0.05）,研究组患者的伤口迟缓愈合、伤口感染、肌腱及血管神经的损伤、骨筋室膜综合征等术后并发症总发生率（3.23%）明显低于对照组患者（22.58%）,组间差异有统计学意义（P〈0.05）。结论对三踝骨折患者实施踝关节镜下治疗的效果较好,患者的术后并发症较少,具有重要临床价值。

Objective To observe and explore the curative effect of ankle arthroscopic treatment on trimalleolar fracture. Methods 62 patients with trimalleolar fracture who were admitted to our hospital from August 2012 to December 2014 were received clinical studies and they were allocated to the control group and the study group. Patients in the control group were received traditional open reduction internal fixation while patients in the study group were received ankle arthroscopic treatment. Clinical curative effect and postoperative complications of patients with trimalleolar fracture in two groups were analyzed. Results Excellent and good rate of treatment of patients in the study group was 96.77% which was significantly higher than that of patients in the control group 77.41%. Differences between two groups were significant（P〈0.05）. The total rate of postoperative complications in study group was 3.23% including retarded wound healing, wound infection, tendon and neurovascular injuries, bone tendon chamber film syndrome which was significantly lower than that in the control group 22.58%. Differences between two groups were significant（P〈0.05）. Conclusion Ankle arthroscopic treatment on patients with trimalleolar fracture has a better effect and less postoperative complications, which is of important clinical value.