【摘要】 目的:分析探讨后外侧入路内固定(TPA)治疗旋后外旋型踝关节骨折的临床效果。方法:选取2018年3月～2020年3月于本院接收治疗的旋后外旋型踝关节骨折患者50例,采取随机分配法分为对照组和观察组,各25例。对照组采取经腓骨入路(TA),观察组采取TPA,对比两组患者手术情况、治疗效果、踝功能恢复情况。结果:观察组术中出血量少于对照组,(P<0.05);观察组手术时间、骨折愈合时间、住院时间低于对照组,(P<0.05);观察组(84%)总治疗有效率高于对照组(68%),(P<0.05);观察组(84%)踝功能恢复总优良率高于对照组(64%),(P<0.05)。结论:TPA治疗旋后外旋型踝关节骨折临床效果良好,值得临床推广及应用。更多还原

【Abstract】 Objective:to analyze the clinical effect of posterolateral internal fixation(TPA) in the treatment of supination and external rotation ankle fractures.Methods:from March 2018 to March 2020, 50 patients with supination and external rotation ankle fracture in our hospital were selected and randomly divided into control group and observation group, 25 cases in each group. The control group was treated by the fibular approach(TA), and the observation group was treated with TPA.Results:the intraoperative blood loss, operation time, fracture healing time and hospitalization time in the observation group were lower than those in the control group(P<0.05); the total effective rate of the observation group(84%) was higher than that of the control group(68%)(P<0.05); the total excellent and good rate of ankle function recovery in the observation group(84%) was higher than that in the control group(64%),(P<0.05).Conclusion:TPA has good clinical effect in the treatment of supination and external rotation ankle fracture, which is worthy of clinical promotion and application.更多还原