切开或闭合复位内固定治疗后踝骨折的疗效分析

Open or Closed Reduction and Internal Fixation after Treatment the Curative Effect of Ankle Fracture Analysis

目的探讨与分析切开或闭合复位内固定治疗后踝骨折的治疗效果。方法 该研究方便选取自2010年5月—2016年3月该院收治的后踝骨折行切开或闭合复位内固定治疗的58例患者的临床资料进行回顾性分析。结果 该次研究中有2例患者延迟愈合,余下56例全部为Ⅰ期愈合。术后患者愈合时间为3个月-0.5年,平均愈合时间为（4.6±0.4）个月,治疗后对患者进行12-48个月的随访,平均随访（26.4±5.2）个月,在末次随访中依照AOFAS评分标准,24例患者评分为优;28例为良;5例为可,1例为差,该组患者治疗优良率为89.7%。其中,有11例患者行走或是在负重时存在踝关节疼痛现象,给予服用止痛药和增强康复训练治疗。结论 对后踝骨折患者予以良好的复位及稳固的内固定有助于踝关节的康复,有助于早期进行功能锻炼。

Objective To observe and analyze the clinical effectiveness of internal fixation with open reduction and internal fixation with closed reduction in the treatment of posterior malleolus fractures. Methods Convenient selection 58 cases with posterior malleolus fractures in our hospital from May 2010 to March 2016 were chosen, and the clinical data of 58 patients with posterior malleolus fractures were retrospectively analyzed. Results Two patients were late healed and other 56 inci-sions healed by first intention. All fractures healed after 3 to 6 months （4.6±0.4） on average, and followed up 12 to 48 months （26.4±5.2） on average. The results of American Orthopaedic Foot and Ankle Society （ AOFAS） ankle and hindfoot score were excellent in 24 cases, good in 28 cases, fair in 5 cases, and bad in 1 case with an excellent and good rate of 89.7%. Among the patients, there were 11 cases had ankle pain when walking or weight, treat them with pain medication and rehabilitation training. Conclusion Well restoration and stable internal fixation can achieve the satisfactory results in the treatment of posterior malleolus fractures, and have contributed to early functional exercise.