探究踝关节骨折切开复位内固定术治疗踝关节骨折患者临床效果

Clinical Effect of Open Reduction and Internal Fixation for Ankle Joint Fracture in the Treatment of Ankle Fracture

目的探讨踝关节骨折患者接受切开复位内固定术治疗的效果。方法 2008年10月—2011年10月我院对70例踝关节骨折患者开展了研究分析,为患者提供切开复位内固定手术治疗,并且选取了同期的70例踝关节骨折外固定复位治疗的患者进行对比分析,对两组的临床治疗效果以及治疗的安全性进行分析。结果治疗后,对照组有26例优秀,占37.14%,31例为良,占44.29%,8例为一般,占11.43%,5例为较差,占7.10%;观察组是27例为优(38.57%),32例为良(45.71%),7例为一般(10.0%),4例为较差(5.71%);优良率对比差异不存在统计学意义(P>0.05)。对照组VSA评分平均(2.84±0.47)分,HAMD评分为(18.38±2.31)分,HAMA评分为(14.48±1.93)分,观察组分别是(7.89±1.08)分,(45.23±5.93)分,(39.28±4.31)分;观察组负面情绪评分比对照组高(P<0.05)。结论踝关节骨折使用切开复位内固定治疗的效果比较突出,该方式具有风险性,需要谨慎使用。

Objective To investigate the effect of open reduction andinternal fxation for patients with ankle fracture. Methods From October 2008 to October 2011, 70 cases of ankle fracture were carried out research and analysis in our hospital, provided with open reduction and internal fixation for patients, and select the same period 70 cases of ankle joint fracture external fixation treatment were compared with the analysis, this paper analyzes the security of clinical treatment and treatment effect of the two groups. Results After the treatment, the control group had 26 cases of excellent, accounting for 37.14%, 31 cases were benign, accounted for 44.29%, 8 cases, accounted for 11.43%, 5 cases were poor, accounting for 7.10%; the observation group 27 cases were excellent （38.57%）, 32 cases were benign （45.71%）, 7 cases （10% general）, 4 cases were poor （5.71%）; the excellent rate of contrast there were no statistical differences （P 〉 0.05）. The control group average VSA score （2.84±0.47）, HAMD score （18.38±2.31）, HAMA score （14.48±1.93）, the observation group were （7.89±1.08）, （45.23±5.93）, （39.28±4.31）; observation group negative mood score than the control group （P 〈 0.05）. Conclusion The effect of open reduction and internal fixation for the fracture of the ankle is more prominent, and the method is risky and needs to be used carefully.