摘要
目的探讨切开复位内固定术治疗复杂踝关节骨折的手术时机选择。方法将60例复杂踝关节骨折患者,按照手术时机分成A、B两组,各30例。A组患者于外伤后6~8 h行切开复位内固定手术;B组患者延期于外伤后5~10 d,等待皮肤软组织肿胀基本消退后再进行骨折切开复位内固定手术。比较两组患者的住院时间、骨折愈合时间、术后并发症发生率(切口感染)、踝关节功能评分和疼痛评分。结果A组患者住院时间[(8.7±2.0)d]短于B组[(14.4±2.1)d](P<0.01);A组踝关节功能评分[(94.1±5.2)分]高于B组[(88.6±8.8)分](P<0.05);两组患者骨折愈合时间、术后并发症发生率及疼痛评分差异均无统计学意义(P均>0.05)。结论在复杂踝关节骨折手术治疗中,早期急诊手术可以缩短住院时间,改善愈合效果,有效促进踝关节功能的康复。
Objective To explore the timing of open reduction and internal fixation for the treatment of complex ankle fractures.Methods Sixty patients with complex ankle fractures were divided into two groups A and B according to the timing of the operation,with 30 cases in each group.Patients in group A underwent open reduction and internal fixation 6-8 hours after trauma;patients in group B were postponed 5-10 days after trauma,waiting for the swelling of the skin and soft tissue to subside before undergoing open reduction and internal fixation.The hospital stay,fracture healing time,postoperative complications(incision infection),ankle joint function score and pain score were compared between the two groups.Results The hospitalization time[(8.7±2.0)d]of group A was shorter than that of group B[(14.4±2.1)d](P<0.01);the ankle function score of group A[(94.1±5.2)score]was higher than that of group B[(88.6±8.8)score](P<0.05);there were no significant differences in fracture healing time,postoperative complications and pain scores between the two groups(P all>0.05).Conclusion In the surgical treatment of complex ankle fractures,early emergency surgery can shorten the hospital stay,improve the healing effect,and effectively promote the recovery of ankle joint function.
作者
魏代好
马腾
杨海波
WEI Daihao;MA Teng;YANG Haibo(Department of Trauma and Orthopedics,the General Hospital of Ningxia Medical University,Yinchuan750004,China)
出处
《宁夏医科大学学报》
2020年第11期1169-1172,共4页
Journal of Ningxia Medical University
关键词
复杂踝关节骨折
切开复位内固定术
手术时机
complex ankle fractures
open reduction and internal fixation
surgical timing
