摘要
目的:探讨支撑钢板联合空心螺钉治疗Herscovici D型内踝骨折的临床疗效。方法:回顾性分析某院骨科收治的36例踝关节骨折患者的临床资料,均存在Herscovici D型内踝骨折,依据治疗方案的不同分为观察组和对照组。对照组18例患者采用传统空心螺钉固定,观察组18例患者采用支撑钢板联合空心螺钉固定。比较术后2组患者骨折愈合时间、完全负重时间、复位丢失率、并发症发生率及术后12个月美国足踝外科协会踝与后足评分(AOFAS)。结果:36例患者均获得(14.2±1.6)个月随访;观察组骨折复位丢失率为5.6%,明显低于对照组的38.9%(P<0.05);观察组骨折愈合时间、完全负重时间小于对照组,术后12个月AOFAS评分观察组高于对照组,差异均有统计学意义(P<0.05);2组患者术后并发症发生率比较差异无统计学意义(P>0.05)。结论:支撑钢板联合空心螺钉治疗Herscovici D型内踝骨折具有固定牢靠、早期功能锻炼、加快康复、提高踝关节功能等优点,值得临床上推广应用。
Objective:To investigate the effectiveness of buttress plate combined with cannulated screw for the treatment of Herscovici D type medial malleolar fracture.Methods:Clinical data of 36 patients with ankle fracture who underwent surgery in a hospital were retrospectively analyzed,all of them including Herscovici D type medial malleolar fracture.18 of them were treated with traditional cannulated screw(control group),and the other 18 were treated with buttress plate combined with cannulated screw(observation group).Postoperative anteroposterior and lateral X-ray films were taken to evaluate fracture reduction and union condition.The two groups were compared in terms of complications,fracture healing time,full weight-bearing time,and loss of reduction.Ankle-hindfoot scores by the American Orthopaedic Foot and Ankle Society(AOFAS)were also used in the comparison 12 months after the surgery.Results:During the follow-up time,the bony union was observed according to X-rays in all patients.Less fracture healing time and full weight-bearing time of the observation group were recorded than those in the control group(P<0.05).The AOFAS scores of the observation group were better than those in the control group(P<0.05).There was no significant differences between the two groups as regards the incidence of complications(P>0.05).Conclusion:Buttress plate combined with cannulated screw for the treatment of Herscovici D type medial malleolus fracture has the advantages of firm fixation,early functional exercise of patients,faster recovery of patients,and improved ankle function.It is worthy of clinical application.
作者
张青波
张玉
白建中
刘涛
牛国旗
ZHANG Qingbo;ZHANG Yu;BAI Jianzhong;LIU Tao;NIU Guoqi(Department of Orthopedics,The Second Affiliated Hospital of Bengbu Medical College,Anhui 233000,China)
出处
《淮海医药》
CAS
2021年第6期562-566,共5页
Journal of Huaihai Medicine
基金
蚌埠医学院自然科学基金重点项目(BYKY2019167ZD)
蚌埠医学院科研创新团队项目(BYKC201911)。