【摘要】 目的 探讨踝关节骨折治疗中采用后踝固定的临床效果及对并发症的影响。方法 60例踝关节骨折患者,根据治疗方案不同分为对照组(n=15,后踝非手术复位固定治疗)与研究组(n=45,后踝固定治疗)。对比两组治疗效果、临床指标、踝关节活动度、踝关节及踝-后足功能评分、并发症发生率。结果 研究组治疗优良率95.56%较对照组的73.33%高(P<0.05)。研究组治疗时间(42.81±4.16)min与对照组的(43.54±4.32)min对比无显著性差异(P>0.05)；研究组住院时间(8.34±1.42)d、骨折愈合时间(11.42±1.24)周较对照组的(15.23±2.02)d、(15.02±1.32)周短(P<0.05)。术后6个月,两组内翻、外翻、背屈、跖屈活动度较术前增大,且研究组内翻活动度(21.81±1.38)°、外翻活动度(26.35±2.21)°、背屈活动度(20.42±1.54)°、跖屈活动度(40.26±2.41)°较对照组的(20.43±1.43)、(24.73±2.14)、(19.14±1.42)、(38.56±2.37)°大(P<0.05)。术后6个月,两组踝关节功能评分、踝-后足功能评分较术前升高,且研究组踝关节功能评分(83.04±5.12)分、踝-后足功能评分(80.47±4.51)分较对照组的(71.35±4.35)、(62.76±3.67)分高(P<0.05)。研究组并发症发生率2.22%较对照组的26.67%低(P<0.05)。结论 对踝关节骨折患者采用后踝固定可缩短恢复进程,改善踝关节功能,减少并发症,提高治疗效果。更多还原

【Abstract】 Objective To explore the clinical effect of posterior ankle fixation in the treatment of ankle fractures and its impact on complications. Methods 60 patients with ankle fractures were divided into a control group(n=15, non-surgical reduction and fixation of the posterior ankle) and a study group(n=45, posterior ankle fixation) according to different treatment regimens. Comparison of therapeutic effect, clinical indicators, ankle range of motion, ankle joint and ankle hindfoot scores, and complications between the two groups. Results The excellent rate of treatment in the study group was 95.56%, which was higher than 73.33% in the control group(P<0.05). There was no significant difference in the treatment time between the study group(42.81±4.16) min and the control group(43.54±4.32) min(P>0.05). The hospitalization time of the study group was(8.34±1.42) d and the fracture healing time was(11.42±1.24) weeks, which were shorter than those of the control group [(15.23±2.02) d and(15.02±1.32) weeks](P<0.05). At 6 months after surgery, the range of motion of inversion, eversion, dorsiflexion, and plantarflexion in both groups increased compared with before surgery; the above indicators in the study group were(21.81±1.38),(26.35±2.21),(20.42±1.54), and(40.26±2.41)°, which were greater than those in the control group [(20.43±1.43),(24.73±2.14),(19.14±1.42), and(38.56±2.37)°](P<0.05). At 6 months after surgery, the ankle joint and ankle hindfoot scores in both groups were increased compared with before surgery, the ankle joint function score in the study group was(83.04± 5.12) points and the ankle hindfoot score was(80.47±4.51) points, which were higher than those in the control group [(71.35±4.35) and(62.76±3.67) points](P<0.05). The incidence of complications in the study group was 2.22%, which was lower than 26.67% in the control group(P<0.05). Conclusion Posterior ankle fixation can shorten the postoperative recovery process of patients with ankle fractures, improve ankle joint function, reduce complications, and increase the excellent rate of treatment.更多还原