切开复位内固定术治疗踝关节骨折的临床疗效

Clinical Effect of Open Reduction and Internal Fixation for Ankle Fracture

目的评价踝关节骨折切开复位内固定术治疗踝关节骨折的临床疗效和安全性。方法从2015年1月—2018年6月间来该院诊治的踝关节骨折患者中随机抽取68例,采用随机数字法随机分为对照组34例:实施传统的石膏外固定,观察组34例:实施切开复位内固定术,观察两组患者的术后疗效、治疗总有效率和并发症发生率。结果观察组骨折愈合时间为(71.33±15.21)d低于对照组(95.17±22.89)d(t=10.359,P<0.05),踝关节功能评分为(32.28±3.89)分高于对照组(27.33±2.21)分(t=8.132,P<0.05);观察组螺丝松动1例,切口感染2例,并发症有3例,其发生率为8.82%,对照组出现关节僵硬者有10例,其发生率为29.41%。观察组并发症发生率低于对照组(χ^2=10.842,P<0.05);观察组治疗效果中无效有2例,占5.88%,有效有18例,占52.94%,痊愈有14例,占41.18%,总有效率为94.12%;对照组治疗效果中无效有6例,占17.65%,有效有15例,占44.12%,痊愈有13例,占38.24%,总有效率为82.35%。观察组总有效率高于对照组(χ^2=11.342,P<0.05)。结论切开复位内固定术可有效提高踝关节骨折患者疗效,降低骨折愈合时间和并发症发生率,是一项值得推广使用的手术方案。

Objective To evaluate the clinical efficacy and safety of open reduction and internal fixation for ankle fractures in the treatment of ankle fractures.Methods A total of 68 patients with ankle fractures from January 2015 to June 2018 in our hospital were randomly selected and randomly divided into control group(34 cases):traditional plaster external fixation,34 cases in the observation group:Open reduction and internal fixation were performed to observe the postoperative efficacy,total effective rate of treatment and complication rate of the two groups of patients.Results The fracture healing time of the observation group was(71.33±15.21)d lower than that of the control group(95.17±22.89)d(t=10.359,P<0.05),and the ankle joint function score was(32.28±3.89)points higher than the control group(27.33±2.21)points(t=8.132,P<0.05);1 case of screw loosening in the observation group,2 cases of wound infection,3 cases of complications,the incidence rate was 8.82%,and 10 cases of joint stiffness in the control group,the incidence rate was 29.41%.The incidence of complications in the observation group was lower than that in the control group(χ^2=10.842,P<0.05).There were 2 cases in the observation group,accounting for 5.88%,18 cases were effective,accounting for 52.94%,and 14 cases were cured,accounting for 41.18%,the total effective rate was 94.12%;6 cases were ineffective in the control group,accounting for 17.65%,15 cases were effective,accounting for 44.12%,13 cases were cured,accounting for 38.24%,and the total effective rate was 82.35%.The total effective rate of the observation group was higher than that of the control group(χ^2=11.342,P<0.05).Conclusion Open reduction and internal fixation can effectively improve the curative effect of patients with ankle fracture,reduce the time of fracture healing and the incidence of complications.It is a surgical plan worthy of popularization.