内固定手术在踝关节骨折治疗中的应用效果观察

Observation on the Effect of Internal Fixation in the Treatment of Ankle Fracture

目的分析对内固定手术在踝关节骨折临床治疗中的应用效果。方法选取2013年11月～2017年11月本院收治的50例踝关节骨折患者,随机分为对照组和研究组,各25例,对照组采用手法整复外固定治疗,研究组采用对内固定手术治疗,比较两组踝关节功能优良率、VAS评分、AOFAS评分。结果治疗后,研究组踝关节功能优良率为96.00%,高于对照组的72.00%,差异有统计学意义(P<0.05);研究组VAS评分低于对照组[(1.25±0.21)分vs(2.99±0.34)分],差异有统计学意义(P<0.05)。研究组AOFAS评分高于对照组[(88.26±9.62)分vs(65.28±7.16)分],差异有统计学意义(P<0.05)。结论对内固定手术可有效改善踝关节骨折患者踝关节功能,减轻疼痛感,安全性更高,值得借鉴应用。

Objective To analyze the effect of internal fixation on the clinical treatment of ankle fracture.Methods A total of50patients with ankle fractures admitted to our hospital from November2013to November2017were randomly divided into the control group and the study group,25cases in each group.The control group was treated with manual external fixation and the study group was treated internally.After fixed surgery,the ankle joint function rate,VAS score and AOFAS score were compared between the two groups.Results After treatment,the excellent and good ankle function of the study group was96.00%,which was higher than that of the control group72.00%,the difference was statistically significant(P<0.05).The VAS score of the study group was lower than that of the control group[(1.25±0.21)points vs.(2.99±0.34)points],the difference was statistically significant(P<0.05).The AOFAS score of the study group was higher than that of the control group[(88.26±9.62)points vs.(65.28±7.16)points],the difference was statistically significant(P<0.05).Conclusion Internal fixation can effectively improve the ankle joint function,relieve pain and safety of patients with ankle fracture.It is worthy of reference.