外科手术与保守治疗对旋后外旋型踝关节骨折的疗效比较

Comparison of Effects of Surgery and Conservative Treatment on Supination and External Rotation Ankle Fracture

目的比较旋后外旋型踝关节骨折分别予以外科手术与保守治疗的效果。方法选取2017年2月至2019年2月竹溪县人民医院骨科收治的旋后外旋型踝关节骨折患者共50例,按随机数字表法分为对照组和观察组,每组25例。对照组患者给予保守治疗,观察组患者给予外科手术治疗。比较两组患者住院时间、关节功能恢复时间、治疗后患者踝关节功能Mazur评分及治疗优良率。结果两组Ⅱ型骨折患者的踝关节功能Mazur评分及治疗优良率比较,差异无统计学意义(P>0.05)。对照组Ⅱ型骨折患者住院时间及关节功能恢复时间较观察组更短,差异有统计学意义(P<0.05)。观察组Ⅲ、Ⅳ型骨折患者Mazur评分及治疗优良率显著高于对照组,住院时间及关节功能恢复时间更短,差异均有统计学意义(P<0.05)。结论对于Ⅱ型的旋后外旋型踝关节骨折而言,保守治疗可缩短住院的时间、关节功能平均恢复的时间;对于Ⅲ、Ⅳ型的旋后外旋型踝关节骨折而言,外科手术可更好地恢复关节功能,缩短康复时间。

Objective To compare the effects of surgery and conservative treatment on supination and external rotation ankle fracture.Methods From February 2017 to February 2019,a total of 50 patients with posterior external rotation ankle fractures admitted to the Department of Orthopedics,Zhuxi County People's Hospital were selected and divided into a control group and an observation group according to the random number table method,with 25 patients in each group.Patients in the control group were given conservative treatment,while patients in the observation group were given surgical treatment.The length of hospital stay,recovery time of joint function,Mazur score of ankle function and excellent and good rate of treatment were compared between the two groups.Results There was no significant difference in Mazur score of ankle function and excellent and good rate of treatment in type Ⅱ fracture patients between the two groups(P>0.05).The hospitalization time and recovery time of joint function of type Ⅱ fracture patients in the control group were shorter than those in the observation group,and the difference was statistically significant(P<0.05).The Mazur score and excellent and good rate of treatment in patients with type Ⅲ and Ⅳ fractures in the observation group were significantly higher than those in the control group,and the hospitalization time and recovery time of joint function were shorter,with statistically significant differences(P<0.05).Conclusion Conservative treatment can shorten the hospitalization time and recovery time of joint function for type Ⅱ supination and external rotation ankle fracture,and surgery can better recover joint function and shorten the recovery time for type Ⅲ and Ⅳ patients.