切开复位内固定治疗踝关节骨折的临床疗效

The clinical curative effect of open reduction and internal fixation for the treatment of ankle joint fracture

目的:为探究临床有效治疗踝关节骨折的可靠方法,以便为临床研究和相关实践提供科学依据。方法:2010年12月-2013年12月收治踝关节骨折患者154例,均符合踝关节骨折的临床诊断标准。根据临床治疗方法的不同将患者分成切开复位内固定组(77例)和手法复位石膏固定组(77例)。分别实施切开复位内固定治疗和手法复位石膏固定治疗。观察和比较两组治疗的总有效率和并发症发生率。结果:比较两组患者临床治疗总有效率,组间数据验证结果显示差异具有统计学意义(χ2=6.671 7,P=0.009 8);并发症发生率组间比较,手法复位石膏固定组患者显著高于切开复位内固定治疗组,组间数据验证结果显示差异具有统计学意义(χ2=6.290 8,P=0.012 1)。结论:在临床针对踝关节骨折治疗方法的选择上,与传统手法复位石膏固定治疗方法相比较,切开复位内固定治疗踝关节骨折的临床整体效果更佳,是临床治疗踝关节骨折的理想方案之一。

Objective:To explore a reliable method for the effective treatment of ankle joint fracture,in order to provide a scientific basis for clinical research and related practices.Methods:154 patients with ankle joint fracture were selected from December 2010 to December 2013.All patients were consistent with the clinical diagnostic criteria of ankle joint fracture.The patients were divided into the open reduction and internal fixation group(77 cases)and manual reduction and plaster fixation group(77 cases)according to the different clinical treatment methods.The two groups of patients were treated by open reduction internal fixation and manual reduction plaster fixation.The clinical total effective rate and incidence of complications were observed and compared.Results:Comparison of the clinical total effective rate of the two groups of patients,the data validation results between the two groups showed a statistically significant difference( χ2=6.671 7,P=0.009 8).The incidence of complications between the two groups were compared,the manipulative reduction and plaster fixation group were significantly higher than that of the open reduction and internal fixation group,data validation between groups showed a statistically significant difference(χ2=6.290 8,P=0.012 1).Conclusion: On the choice of clinical treatment for ankle fractures,the overall effect of open reduction and internal fixation in the treatment of ankle fractures is better than the traditional manual reduction and plaster fixation method,which is one of the ideal solution for the clinical treatment of ankle joint fracture.