闭合复位经皮空心螺钉内固定与切开复位内固定治疗踝关节骨折的疗效比较

Comparison of Curative Effect between Closed Reduction and Percutaneous Cannulated Screw Fixation Open Reduction and Internal Fixation for Ankle Fractures

目的:探讨踝关节骨折患者采用闭合复位经皮空心螺钉内固定与切开复位内固定治疗的临床疗效。方法:研究将2015年1月～2017年1月期间收治的66例踝关节骨折患者随机分为两组(n=33),采用切开复位内固定术治疗的为参照组,采用闭合复位经皮空心螺钉内固定术治疗的为观察组,比较两组患者的治疗效果。结果:观察组的手术用时、出血量、骨折愈合时间、住院时间与并发症发生率明显低于参照组,但其踝关节功能AOFAS评分优良率明显高于参照组,组间数据对比差异有统计学意义(P<0.05)。结论:踝关节骨折采用闭合复位经皮空心螺钉内固定手术治疗,能减少手术出血量,加快骨折部位的愈合,改善患者的踝关节功能,促进患者早日康复。

Objective:To discuss the clinical efficacy of closed reduction and percutaneous cannulated screw fixation open reduction and internal fixation in the treatment of ankle fracture.Methods:66 ankle fracture patients admitted and treated from January 2015 to January 2017 were randomly divided into two groups(n=33),the control group was treated with open reduction and internal fixation,and the observation group was treated with closed reduction and percutaneous hollow screw internal fixation.The therapeutic effects of the two groups were compared.Results:The operation time,bleeding volume,fracture healing time,length of stay and complication rate of the observation group were significantly lower than those of the reference group,but the excellent rate of ankle function AOFAS score was significantly higher than that of the reference group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Closed reduction and percutaneous cannulated screw fixation for ankle fractures can reduce the amount of bleeding,accelerate the healing of the fracture site,improve the ankle function,and promote the early recovery of the patients.