合并下胫腓联合分离踝关节骨折的手术治疗

Surgical Treatment of Joint Ankle Joint Fractures

目的分析合并下胫腓联合分离踝关节骨折的手术治疗。方法方便抽取该院于2008年1月—2017年1月收治的100例合并下胫腓联合分离踝关节骨折患者为研究对象。根据术式的不同,将其分为对照组和观察组。分别给予两组常规骨折切开复位术、内侧入路联合后外侧入路骨折切开复位术治疗。结果观察组骨折愈合时间(16.24±0.78)周,短于对照组(20.03±2.14)周(t=4.69),观察组术后踝关节运动功能评分(81.06±6.19)分、治疗满意度98.08%均高于对照组(69.44±5.26)分(t=10.29)、治疗满意度85.42%(χ2=5.25)(P<0.05)。结论合并下胫腓联合分离踝关节骨折手术治疗中,内侧入路联合后外侧入路可缩短患者的骨折愈合时间,改善其踝关节运动功能。

Objective To analyze the surgical treatment of joint ankle fractures. Methods 100 patients with combined ankle fractures and ankle fractures convenient treated in the hospital from January 2008 to January 2017 were selected as the study subjects. According to the different surgical methods, they were divided into control group and observation group. Two groups were given conventional fracture open reduction, medial approach combined posterior lateral approach fractures open reduction surgery. Results The fracture healing time of the observation group was（16.24 ±0.78）w, which was shorter than that of the control group（20.03±2.14）w（t=4.69）. The ankle joint motor function score of the observation group was（81.06±6.19） points and the treatment satisfaction was 98.08%. The was higher than the control group（69.44±5.26）points（t=10.29）,and the treatment satisfaction was 85.42%（χ^2=5.25）（P〈0.05）. Conclusion In the combined surgical treatment of the lower jaw combined with the separation of the ankle fracture, the medial approach combined with the posterolateral approach can shorten the fracture healing time and improve the ankle joint motor function.