摘要
目的:探讨后踝骨折患者采用闭合复位经皮空心螺钉内固定术治疗的临床疗效。方法:将2014年1月~2018年1月治疗后踝骨折的68例患者随机分为两组,A组采用切开复位内固定术治疗,B组采用闭合复位经皮空心螺钉内固定术治疗,比较两组的手术疗效。结果:B组患者术中出血量、骨痂形成时间、骨折愈合时间明显少于A组,踝关节功能AOFAS评分优良率、骨折愈合率明显高于A组,差异有统计学意义(P<0.05)。结论:闭合复位经皮空心螺钉内固定术治疗后踝骨折,能减少组织剥离与手术出血量,加快骨折愈合,促进踝关节功能恢复。
Objective:To discuss the clinical effect of closed reduction and percutaneous cannulated screw fixation in the treatment of patients with posterior malleolus fracture.Methods:A total of 68 patients with posterior ankle fracture from January 2014 to January 2018 were randomly divided into two groups.Group A was treated with open reduction and internal fixation.Group B was treated with closed reduction and percutaneous cannulated screw internal fixation.The surgical effects of the two groups were compared.Results:The amount of bleeding,callus formation time and fracture healing time in group B were significantly less than those in group A.The excellent and good rate of AOFAS score and fracture healing rate of ankle joint function in group B were significantly higher than those in group A,the difference was statistically significant(P<0.05).Conclusion:Closed reduction and percutaneous cannulated screw fixation for posterior ankle fracture can reduce the amount of tissue dissection and bleeding,accelerate fracture healing and promote ankle function recovery.
作者
王志鹏
Wang Zhipeng(First Department of Orthopedics,Xuchang Renhe Orthopaedic Hospital,Xuchang 461000)
出处
《数理医药学杂志》
2020年第3期380-381,共2页
Journal of Mathematical Medicine
关键词
后踝骨折
闭合复位经皮空心螺钉内固定
切开复位内固定
疗效
posterior malleolus fracture
closed reduction and percutaneous cannulated screw internal fixation
open reduction and internal fixation
curative effect
