后踝骨折改良内侧手术入路治疗后踝关节骨折临床分析

目的:分析改良内侧手术入路治疗对后踝关节的治疗效果。方法:以2016年1月至2016年9月本科室收治的56例后踝关节骨折患者为研究对象,并平均分为改良内侧入路组和后外侧入路组,每组各28例,对比两组患者的术后恢复情况。结果:改良内侧入路组的手术、术后负重以及骨折愈合时间均比外侧入路组患者要短,并且手术过程中患者的出血量明显少于外侧入路组,P<0.05,差异有统计学意义;同时对比两组患者术后并发症,发现改良内侧入路组明显优于外侧入路组,P>0.05,差异无统计学意义。结论:经过改良内侧入路治疗的患者后踝关节骨折术中具有创伤小、恢复快、并发症低等优势。

objective to analyze the therapeutic effect of modified medial surgical approach on ankle joint. Methods in January 2016 to September 2016 after undergraduate course room of 56 cases of ankle fractures patients as the research object, and divided into improved the medial approach and posterolateral approach group, 28 cases in each group, compared two groups of patients with postoperative recovery. Results improved the medial approach group of surgery, postoperative weight-bearing and fracture healing time were shorter than the lateral approach group of patients, and surgery patients blood loss significantly less than the lateral approach in the process of group, P < 0.05, the difference was statistically significant. The postoperative complications were compared between the two groups, and it was found that the improved medial approach group was significantly better than the lateral approach group, P BBB 0 0.05, and the difference was not statistically significant. Conclusion after modified medial approach to treatment, ankle fracture surgery has the advantages of small trauma, quick recovery and low complication.