手术治疗高龄旋后外旋型踝关节骨折的效果及对患者生活质量的影响

Effect of surgical treatment of supination external rotation ankle fracture in the advanced age and its influence on the quality of life of patients

目的探究手术治疗高龄旋后外旋型踝关节骨折的效果及对患者生活质量的影响。方法选取本院收治的60例高龄旋后外旋型踝关节骨折患者作为研究对象,按治疗方式将其分为参照组(30例,保守治疗)和研究组(30例,手术治疗)。比较两组的治疗效果、踝关节功能、疼痛程度、康复时间及生活质量。结果研究组的治疗优良率为86.67%,高于参照组的63.33%(P<0.05)。治疗1个月后,研究组的OMAS评分高于参照组,VAS评分低于参照组(P<0.05)。研究组的骨折愈合时间、踝关节功能恢复时间、住院时间均短于参照组(P<0.05)。治疗1个月后,研究组的生活质量各项评分均高于参照组(P<0.05)。结论相较于保守治疗,对高龄旋后外旋型踝关节骨折患者开展手术治疗可有效提升临床疗效,且能促骨折愈合及踝关节功能康复,进而提升患者的生活质量。

Objective To explore the effect of surgical treatment of supination external rotation ankle fracture in the advanced age and its influence on the quality of life of patients.Methods Sixty elderly patients with supination external rotation ankle fracture treated in our hospital were selected as the research objects,and the patients were divided into reference group(30 cases,conservative treatment)and study group(30 cases,surgical treatment)according to treatment method.The treatment effect,ankle function,pain degree,rehabilitation time and quality of life were compared between the two groups.Results The excellent and good rate of treatment in the study group was 86.67%,which was higher than 63.33% in the reference group(P<0.05).After 1 month of treatment,the OMAS score of the study group was higher than that in the reference group,and the VAS score was lower than that of the reference group(P<0.05).The fracture healing time,ankle function recovery time and hospital stay in the study group were shorter than those in the reference group(P<0.05).After 1 month of treatment,the scores of quality of life in the study group were higher than those in the reference group(P<0.05).Conclusion Compared with conservative treatment,surgical treatment for elderly patients with supination external rotation ankle fracture can effectively improve the clinical efficacy,promote fracture healing and ankle function rehabilitation,and then improve the quality of life.