经腓骨后外侧入路抗滑钢板内固定对旋后外旋型踝关节骨折的效果

Effect of anti slide plate internal fixation by posterolateral approach through fibula in the treatment of patients with supination-eversion fractures of ankle

目的:探讨经腓骨后外侧入路抗滑钢板内固定对旋后外旋型踝关节骨折的效果。方法:收治旋后外旋型踝关节骨折患者80例,随机平分为两组。对照组给予外侧锁定钢板治疗,研究组给予经腓骨后外侧入路抗滑钢板内固定治疗,对两组临床疗效、骨折愈合时间及不良反应发生情况进行统计分析。结果:研究组的踝关节功能优良率87.5%,高于对照组的62.5%;骨折愈合时间短于对照组;不良反应发生率12.5%,低于对照组27.5%;差异均有统计学意义(P<0.05)。结论:经腓骨后外侧入路抗滑钢板内固定对旋后外旋型踝关节骨折的效果显著。

Objective:To explore the clinical effect of anti slide plate internal fixation by posterolateral approach through fibula inthe treatment of patients with supination-eversion fractures of ankle.Methods:80 patients with supination-eversion fractures ofankle were selected.They were randomly divided into the two groups on average.The lateral locking plate treatment was given tothe control group,while patents were treated with anti slide plate internal fixation by posterolateral approach through fibula in thestudy group.The clinical curative effect,fracture healing time and adverse reaction of the two groups were analyzed statistically.Results:The excellent rate of ankle joint function in the study group was 87.5% ,which was significantly higher than that in thecontrol group of 62.5%;fracture healing time was significantly shorter than that of the control group;the adverse reaction rate of12.5% was significantly lower than that in the control group of 27.5% ;the differences were statistically significant(P<0.05).Conclusion:The effect of anti slide plate internal fixation by posterolateral approach through fibula in the treatment of patientswith supination-eversion fractures of ankle was significant.