不同治疗方式对不稳定型踝关节骨折效果对比研究

Comparative Study on the Effect of Different Treatment Methods on Unstable Ankle Fractures

目的观察不同治疗方式对不稳定型踝关节骨折效果。方法该文选取2015年1月—2019年12月在该科诊断的不稳定型踝关节骨折患者100例,根据手术方法不同分为两组。石膏外固定组48例为对照组,切开复位内固定52例为观察组,对比两组患者踝关节的功能评定。统计两组患者术后并发症的情况:感染、软组织损伤、肌肉萎缩、创伤性关节炎、关节僵硬、血栓。结果观察组疼痛、功能、对线评分分别为(35.32±2.34)分、(43.21±3.23)分、(9.01±0.45)分,明显高于对照组(21.16±2.06)分、(31.23±1.23)分、(6.18±0.56)分,差异有统计学意义(t=32.01、24.12、27.96,P<0.05);观察组优27例,占51.92%,良18例,占34.62%,中6例,占11.53%,差1例,占1.92%,优良率为86.54%,对照组优20例,占41.67%,良11例,占21.54%,中10例,占20.83%,差7例,占14.58%,优良率为63.21%。观察组优良率高于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生3例,对照组并发症发生10例,观察组明显低于对照组,差异有统计学意义(χ^(2)=5.008,P=0.025)。结论切开复位内固定治疗不稳定型踝关节骨折效果明显,并发症发生率低,值得推广。

Objective To observe the effects of different treatment methods on unstable ankle fractures.Methods This paper selected 100 patients with unstable ankle fractures diagnosed in the department from January 2015 to December 2019,and divided them into two groups according to different surgical methods.Forty-eight patients in the plaster external fixation group were the control group,and 52 patients in the open reduction and internal fixation were the observation group.Evaluated the ankle joint function of the two groups.Statistics of postoperative complications of the two groups of patients:infection,soft tissue injury,muscle atrophy,traumatic arthritis,joint stiffness,thrombosis.Results The pain,function,and alignment scores of the observation group were(35.32±2.34)points,(43.21±3.23)points,and(9.01±0.45)points,which was significantly higher than those of the control group(21.16±2.06)points and(31.23±1.23)points,(6.18±0.56)points,the difference was statistically significant(t=32.01,24.12,27.96,P<0.05);in the observation group,27 cases were excellent,accounting for 51.92%,18 cases were good,accounting for 34.62%,6 cases were medium,accounting for 11.53%,1 case was poor,accounting for 1.92%,excellent and good rate was 86.54%,20 cases in the control group were excellent,accounting for 41.67,11 cases were good,accounting for 21.54%,10 cases were fair,accounting for 20.83%,7 cases were poor,accounting for 14.58%,excellent The rate was 63.21%.The excellent and good rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Postoperative complications occurred in 3 cases in the observation group and 10 cases in the control group.The observation group was significantly lower than the control group,and the difference was statistically significant(χ^(2)=5.008,P=0.025).Conclusion Open reduction and internal fixation are effective in the treatment of unstable ankle fractures,with a low complication rate,which is worthy of promotion.