后踝固定对踝关节骨折的临床疗效分析

Analysis the Clinical Effect of Posterior Malleolus Fixation in the Treatment of Patients with Ankle Fractures

目的探讨后踝固定对踝关节骨折的临床治疗效果。方法 2013年2月—2015年1月整群选取该院64例踝关节骨折患者作为研究对象,按照患者治疗方法不同,将其分为观察组32例(采用后外侧入路后踝固定术)及对照组32例(采用手法复位+石膏外固定),比较两组功能优良率、骨折愈合时间、住院时间及并发症发生率。结果观察组患者功能优良率为93.75%,明显高于对照组75.00%;观察组骨折愈合时间及住院时间均显著短于对照组;观察组并发症发生率为3.13%,显著低于对照组18.75%(P<0.05)。结论采用后外侧入路后踝固定术治疗踝关节骨折具有愈合时间及住院时间短、功能优良率高、并发症发生率低等诸多优点。

Objective To explore the clinical curative effect of posterior malleolus fixation in the treatment of patients with ankle fractures. Methods 64 cases with ankle fractures admitted in our hospital from February 2013 to January 2015 were selected as the subjects and divided into the observation group and the control group with 32 cases in each in accordance with the treatment method. Patients in the observation group received posterior malleolus fixation via posterolateral approach and the control group received manipulation reposition and plaster external fixation. And the excellent and good rate of ankle joint function, fracture healing time, length of stay and incidence of complications were compared between the two groups. Results Compared with the control group, the excellent and good rate of ankle joint function was much higher in the observation group than that in the control group（93.75% vs 75.00%）, much shorter fracture healing time and length of stay,obviously lower incidence of complications（3.13% vs 18.75%） with statistically significant differences（P〈0.05）. Conclusion Posterior malleolus fixation via posterolateral approach has such advantages as short fracture healing time and length of stay,high excellent and good rate of ankle joint function, low incidence of complications and so on.