后外侧入路联合内侧入路在三踝骨折治疗中的应用

Application of posterolateral approach combined with medial approach in the treatment of tri-malleolus bone fractures

目的:探究后外侧联合内侧入路应用于三踝骨折治疗中的临床效果。方法:收治三踝骨折患者46例,随机分为两组。对照组给予常规临床骨折治疗,观察组给予踝关节后外侧入路联合内侧入路固定治疗,比较两组临床疗效。结果:观察组手术时间、住院时间、术中出血量、骨折恢复时间明显少于对照组,差异有统计学意义(P<0.05)。观察组总体优良率显著高于对照组,差异有统计学意义(P<0.05)。结论:后外侧联合内侧入路治疗三踝骨折的临床效果显著。

Objective:To explore the clinical effect of posterolateral approach combined with medial approach in the treatment of tri-malleolus bone fractures.Methods:46 cases of patients with tri-malleolus bone fractures were divided into two groups randomly.The control group was given conventional clinical fracture treatment,and the observation group was treated with posterolateral approach combined with medial approach fixation,the clinical effect of the two groups was compared.Results:The operation time,hospitalization time,intraoperative blood loss and fracture recovery time in the observation group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).The overall excellent and good rate in the observation group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Posterolateral approach combined with medial approach in the treatment of tri-malleolus bone fractures had significant clinical effect.