摘要
目的探讨切开复位内固定对踝关节骨折患者术后踝关节功能恢复的应用价值.方法选取2019年9月—2022年11月该院收治的60例踝关节骨折患者为研究对象,采用随机数表法分为两组,各30例,对照组采用传统石膏外固定治疗,观察组采用切开复位内固定治疗,比较两组临床优良率、临床恢复相关指标、踝关节功能及踝关节活动度.结果观察组临床优良率93.00%,高于对照组的73.00%,差异有统计学意义(P<0.05);观察组肿胀消除、住院及骨折愈合时间均短于对照组,组间差异有统计学意义(P<0.05);治疗后,观察组美国矫形外科足踝协会踝-后足、足踝功能障碍指数评分均高于对照组,组间差异有统计学意义(P<0.05);两组踝关节内外翻活动度对比接近,组间差异无统计学意义(P>0.05),但背伸及跖屈活动度观察组均大于对照组,组间差异有统计学意义(P<0.05).结论切开复位内固定术能够提升踝关节骨折患者的治疗优良率,改善踝关节功能,并加快患者术后恢复.
Objective To investigate the application value of open reduction and internal fixation in ankle joint function recovery after ankle fracture.Methods 60 patients with ankle fracture admitted to our hospital from September 2019 to November 2022 were selected as the study objects,and were divided into two groups with 30 cases in each group by random number table method.The control group was treated with traditional plaster external fixation,and the observation group was treated with open reduction internal fixation.The clinical excellence rate,clinical recovery related indicators,ankle function before and after treatment and ankle motion were compared between the two groups.Results The clinical excellent and good rate of observation group was 93.00%,higher than 73.00%of the control group,and the difference was statistically significant(P<0.05);the swelling resolution time,hospital stay time and fracture healing time in observation group were shorter than those in control group,and the difference between groups was statistically significant(P<0.05);after treatment,the ankleposterior foot score and foot and ankle dysfunction index score of the American Orthopaedic Foot and Ankle Association in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05);there was no significant difference between the two groups(P>0.05),but the dorsiflexion and plantar flexion movement in the observation group were higher than that in the control group(P<0.05).Conclusion Open reduction and internal fixation can improve the treatment success rate of ankle fracture patients,improve ankle function,and accelerate postoperative recovery.
作者
庞俏强
黄升宝
PANG Qiaoqiang;HUANG Shengbao(st Department of External Medicine,Gaopu Hospital,Dongguan City,Guangdong Province,Dongguan Guangdong,523002,Chnia)
出处
《反射疗法与康复医学》
2023年第10期160-163,共4页
Reflexology And Rehabilitation Medicine
关键词
踝关节骨折
切开复位内固定
传统石膏外固定
踝关节功能
Ankle joint fracture
Open reduction and internal fixation
Traditional plaster external fixation
Ankle joint function
