不同复位内固定(闭合、切开)治疗粉碎性双踝骨折术后关节未复位效果分析

Different Reduction and Internal Fixation(Closed, Open) in the Treatment of Comminuted Double Ankle Fracture Joint Not Reset Effect Analysis

目的不同复位内固定(闭合、切开)治疗粉碎性双踝骨折术后关节未复位效果分析。方法选择该院2015年6月—2017年5月所收治的68例患者作为研究对象,按照患者意愿将其分成观察组和对照组,各34例。观察组患者给予闭合复位内固定,对照组患者则给予切开复位内固定,对比两种复位固定效果。结果观察组手术时间、术中出血量、术后住院时间等方面优于对照组,数据差异有统计学意义(P<0.05);观察组患者踝关节功能评分优良率为94.12%,对照组患者踝关节功能评分优良率为73.53%,组间比较差异有统计学意义(P<0.05)。观察组和对照组治疗前VAS评分组间差异无统计学意义(P>0.05);治疗后,组间差异有统计学意义(P<0.05)。结论不同复位内固定治疗粉碎性双踝骨折术后关节未复位效果也存在不同,而闭合复位内固定法其治疗效果明显优于切开复位内固定法,值得优先考虑。

Objective Different fixation(closed, open) joint analysis without reduction effect of double ankle fractures after crushing treatment. Methods 68 cases of our hospital in June 2015 to May 2017 from patients as the research object,according to the wishes of patients divided into observation group and control group, 34 cases in each observation. Group was treated with closed reduction and internal fixation, the control group patients were treated with open reduction and internal fixation, a comparison of two fixation effect. Results In the observation group, operation time, bleeding volume,postoperative hospitalization time were better than the control group, statistically significant differences between the data of observation group(P<0.05);Excellent and good rate of ankle joint function of patients was 94.12%, the control group patients with ankle score excellent rate was 73.53%, the difference between groups was statistically significant(P<0.05).The observation group and the control group before treatment VAS score group showed no significant difference(P>0.05);after treatment, significant differences between the groups were statistically significant(P<0.05). Conclusion The different reduction and internal fixation without reduction of articular comminution effect double ankle fracture after operation are also different, and the treatment method of closed reduction and internal fixation is better than open reduction and internal fixation, it is a priority.