摘要
目的 比较胫骨远端内侧锁定钢板与传统空心螺钉治疗垂直型内踝骨折的临床疗效。方法 44例垂直型内踝骨折患者按内固定方式分为锁定钢板组(A组,22例)和空心螺钉组(B组,22例),比较两组手术相关资料和美国足与踝关节协会(AOFAS)评分。结果 A组术后完全负重时间较B组缩短(P<0.05),初次治疗费用和治疗后3、6个月时AOFAS评分[(95.6±2.7)分vs.(92.1±2.6)分、(96.9±1.5)分vs.(93.5±1.7)分]均高于B组(P<0.05)。两组手术时间、术中出血量、切口长度、住院时间、骨折愈合时间、并发症发生率比较差异均无统计学意义(P>0.05)。结论胫骨远端内侧锁定钢板治疗垂直型内踝骨折比空心螺钉固定疗效更好,能缩短完全负重时间,恢复足踝功能,但医疗费用较高。
Objective To compare the clinical efficacy of distal tibial medial locking plate with traditional cannulated screw in the treatment of vertical medial malleolus fracture.MethodsAccording to different internal fixation methods, 44 patients with vertical medial malleolus fracture were divided into two groups of A(treated with distal tibial medial locking plate, 22 cases) and B(treated with cannulated screw, 22 cases).The surgery-related indicators and American Orthopedic Foot and Ankle Society(AOFAS) score 3 and 6 months after operation were compared between the two groups.Results The postoperative complete weight-bearing time was shorter, while the initial treatment costs and AOFAS scores 3 and 6 months after operation were higher in group A than those in group B [(95.6±2.7) points vs.(92.1±2.6) points and(96.9±1.5) points vs.(93.5±1.7) points](P<0.05).There were no significant differences in operation time, intraoperative bleeding, incision length, hospital stay, fracture healing time and incidence of complications between the two groups(P>0.05).Conclusion Distal tibial medial locking plate is better than cannulated screw fixation in the treatment of vertical medial malleolus fracture.It can shorten the complete weight-bearing time and restore the foot and ankle function, but the disadvantage is the higher medical costs.
作者
张广程
聂明军
张庆
ZHANG Guangcheng;NIE Mingjun;ZHANG Qing(Department of Orthopedics,Affiliated Hospital,Jiangsu University,Zhenjiang 212000,CHINA)
出处
《江苏医药》
CAS
2022年第2期116-119,共4页
Jiangsu Medical Journal
基金
江苏大学附属医院博士启动基金(jdfyRC2020007)。
关键词
内踝骨折
锁定钢板
内固定
Medial malleolus fracture
Locking plate
Internal fixation
