探讨切开复位内固定术对三踝骨折治疗的临床效果及踝关节功能的影响

Effect of Open Reduction and Internal Fixation on the Treatment of Trimalleolar Fracture and the Function of Ankle Joint

目的探讨切开复位内固定术对三踝骨折治疗的临床效果及踝关节功能的影响。方法选取2021年1月—2023年12月山东省青岛市城阳区第二人民医院收治的70例三踝骨折患者为研究对象,以随机数表法分为两组,每组35例。传统组采用手法复位石膏外固定治疗,观察组采用切开复位内固定术治疗。对比两组骨代谢水平、踝关节功能、手术相关指标及治疗有效率。结果治疗后,观察组骨代谢相关指标、手术相关指标及踝关节功能均优于传统组,差异有统计学意义(P均<0.05)。观察组治疗有效率为97.14%,高于传统组的74.28%,差异有统计学意义(χ^(2)=7.467,P<0.05)。结论切开复位内固定术治疗三踝骨折的效果显著,可有效提高患者的骨代谢水平,改善手术相关指标和踝关节功能,提高治疗效果。

Objective To investigate the clinical effect of open reduction and internal fixation on the treatment of trimalleolar fracture and the influence of ankle joint function.Methods A total of 70 patients with trimalleolar fracture admitted to Chengyang District Second People's Hospital,Qingdao City,Shandong Province from January 2021 to December 2023 were selected as the study objects and were divided into two groups by random number table method,with 35 cases in each group.The traditional group was treated with manual reduction and plaster external fixation,and the observation group was treated with open reduction and internal fixation.The level of bone metabolism,ankle joint function,surgery-related indexes and treatment effectiveness were compared between the two groups.Results After treatment,the level of bone metabolism indicators,surgery related indexes and ankle function in observation group were better than those in traditional group,the differences were statistically significant(all P<0.05).The total effective rate of the observation group was 97.14%higher than 74.28%of the traditional group,the difference was statistically significant(χ^(2)=7.467,P<0.05).Conclusion Open reduction and internal fixation in the treatment of trimalleolar fracture has significant effects,which can effectively improve bone metabolism,ankle joint function,surgical indicators and therapeutic effect.