后外侧入路钢板内固定治疗后踝骨折的临床效果观察

Clinical effect of posterior lateral access plate internal fixation in treatment of ankle fractures

目的观察后外侧入路钢板内固定治疗后踝骨折的临床效果。方法选取该院2015-03~2017-03收治的36例后踝骨折患者为研究对象,所有患者均进行后外侧入路钢板内固定治疗,观察患者的临床疗效、术后不良事件以及相关观察指标。结果 36例患者的平均手术时间为(80.10±20.07)min,术中平均出血量为(119.60±80.06)ml;术后骨折全部愈合,平均愈合时间为(89.10±10.62)d;治疗后的踝关节功能获优22例,良10例,可4例,差0例,优良率为88.89%;随访期间,患者切口感染2例(5.56%),骨折延迟愈合1例(2.78%),内固定松动、切口缘皮肤坏死、骨折再移位等不良事件均未发生。结论应用后外侧入路钢板内固定治疗后踝骨折,具有一定的临床效果,可有效改善患者的踝关节功能,同时术后发生切口感染等不良事件的概率较低,安全性相对较高。

Objective To observe the clinical effect of posterior lateral access plate internal fixation in treatment of posterior malleolar fractures. Methods 36 patients with posterior malleolus fractures from March 2015 to March 2017 in our hospital were selected. All the patients received posterior lateral access plate fixation for treatment. The clinical efficacy,adverse events and other related indicators were observed. Results The average operative time was（ 80. 10 ± 20. 07） min and the average intraoperative blood loss was（ 119. 60 ± 80. 06） ml. After operation,all the fractures healed and the average healing time was（ 89. 10 ± 10. 62） d. The excellent rate of ankle function was 88. 89%. Ankle function was excellent in 22 cases,good in 10 cases,fair in 4 cases and poor in 0 case.During the follow-up period,2 cases（ 5. 56%） had incision infection,1 case（ 2. 78%） had delayed union of fractures and adverse events such as loosening of the internal fixation,skin necrosis at the edge of the incision and displacement of the fractures. Conclusion For the patients with posterior malleolus fractures,posterior lateral access plate fixation has a certain clinical effect. It can effectively improve the patients＇ ankle function,and reduce the adverse events such as postoperative wound infection and the safety of the operation is relatively high.