三踝骨折术后关节脱位复位效果差对症治疗分析

The symptomatic treatment analysis for the three ankle fracture patients with poor postoperative joint dislocation

目的探讨三踝骨折术后关节脱位复位效果差采用不同方法对症治疗的效果。方法选择2012年8月到2015年2月诊治的三踝骨折术后关节脱位复位效果差的患者96例,根据随机数字表法分为观察组与对照组,各48例。对照组采用手法复位,观察组采用踝关节固定复位器进行复位治疗。观察两组预后康复情况与踝关节功能恢复情况。结果两组手术时间比较差异无统计学意义,但观察组的术后住院时间明显少于对照组(P<0.05)。观察组与对照组术后3个月的踝关节评分分别为91.04±6.34分和84.78±8.45分,均明显高于术前的56.22±9.67分和56.19±6.44分(P<0.05),且观察组术后3个月踝关节评分明显高于对照组(P<0.05)。术后3个月观察组的疗效优良率为95.8%,明显高于对照组的83.3%(P<0.05)。术后3个月观察组的创伤性关节炎、肺部感染等并发症的发生率明显低于对照组(P<0.05)。结论三踝骨折手术后关节脱位难以恢复,治疗时运用踝关节固定复位器能促进患者的康复和踝关节功能的恢复,提高近期疗效,减少并发症的发生,有很好的应用效果。

Objective To investigate the different symptomatic treatment ways and effects for the three ankle fracture patients with poor postoperative joint dislocation. Methods From August 2012 to February 2015,ninety- six cases of three ankle fracture patients with poor postoperative joint dislocation were selected,according to the random number table,they were equally divided into the observation group and the control group,each group 48 cases. The control group were given the manipulative reduction,and the observation group were given the ankle fixed restorer treatment. The rehabilitation prognosis and ankle function recovery were observed. Results The operative time between the two groups was not statistically significant difference,but the postoperative hospital stay in the observation group was significantly less than in the control group（P〈0. 05）. The postoperative three months of ankle scores in the observation group and control group were 91. 04 ± 6. 34 points and 84. 78 ± 8. 45 points that were significantly higher than those of the preoperative of 56. 22 ± 9. 67 points and 56. 19 ± 6. 44 points（P〈0. 05）,while postoperative three months of ankle scores in the observation group were significantly higher than that of the control group（P〈0. 05）. The postoperative three months effectiveness in the observation group was 95. 8%,so that was 83. 3% in the control group that the observation group was significantly higher than that of the control group（P〈0. 05）. The postoperative three months traumatic arthritis,pulmonary infection,nonunion,malunion complications in the observation group were significantly less than those of the control group（P〈0. 05）. Conclusion The ankle fixed restorer treatment for the three ankle fracture patients with poor postoperative joint dislocation can promote healing and ankle function recovery of patients,improve the curative effect,reduce the incidence of complications. It has good application effects.