手术治疗踝关节骨折的临床疗效

Surgical Treatment of Ankle Fractures

目的分析踝关节骨折患者采用手术治疗的临床效果。方法抽取2013年3月—2017年6月在该院就诊的60例踝关节骨折患者,选取30例设为观察组,使用手术切开复位治疗,术后进行功能锻炼指导;选取同期30例接受手法复位治疗的踝关节骨折患者,作为对照组,对两组的治疗情况进行比较分析。结果实验组30例患者顺利完成手术治疗,两组的患者进行了1年左右的随访,实验组的优良率是93.3%,对照组的优良率是76.7%,两组结果差异有统计学意义(χ~2=9.923 1,P<0.05)。两组患者术后均未出现畸形愈合、骨不连、胫腓下联合处螺钉断裂等严重并发症。结论踝关节骨折患者接受手术治疗的效果比较好,可更好、更快恢复患者踝关节功能,且术后并发症发生率低。

Objective To analyze the clinical effect of surgical treatment for patients with ankle fracture. Methods A total of 60 patients with ankle fractures who were treated in the hospital from March 2013 to June 2017 were selected. 30 patients were selected as the observation group. Surgical open reduction and treatment were performed. Functional exercise guidance was given postoperatively; Manipulative reduction treatment of ankle fracture patients, as a control group, compared the treatment of the two groups. Results 30 patients in the experimental group successfully completed surgical treatment. The patients in the two groups were followed for about one year. The excellent rate in the experimental group was 93.3%, and the excellent rate in the control group was 76.7%. There was statistical difference between the two groups （χ2=9.923 1, P〈0.05）. No serious postoperative complications such as malunion, nonunion, and rupture of the subphrenic screw occurred in both groups. Conclusion Surgical treatment of ankle fracture patients is more effective, can better and faster recovery of patients with ankle joint function, and the incidence of postoperative complications is low.