摘要
目的:探讨不同手术方式治疗踝部骨折的临床效果。方法:收治踝部骨折患者57例,对所有患者均采取克氏针或螺钉(包括空心钉)或钢板螺钉内固定治疗,按骨折类型分别采取不同的手术方式,比较不同手术方式患者术后足部功能评分及临床疗效。结果:3组患者的术后足部功能评分比较,差异无统计学意义(P>0.05)。3组患者的疗效比较,差异无统计学意义(P>0.05)。结论:对不同类型的踝部骨折,采用不同的切开复位内固定治疗方法,配合早期肢体锻炼,术后功能恢复良好,临床效果显著,值得推广使用。
Objective:To explore the clinical effect of different operation methods in the treatment of ankle fracture.Methods:57cases with ankle fracture were selected.All the patients were treated with kirschner wire or screw(including hollow screw) or steel screw internal fixation treatment.According to the fracture types,they were given different operation methods.The postoperative foot function scores and clinical effects of patients with different operation methods were compared.Results:The postoperative foot function scores of patients in three groups were compared,and the difference was not statistically significant(P0.05).The clinical effects of patients in three groups were compared,and the difference was not statistically significant(P0.05).Conclusion:The different types of ankle fractures are treated with open reduction and internal fixation in different methods,combined with early postoperative physical exercise.The functional recovery of patients is good.The clinical effect is significant.It is worthy to be popularized.
关键词
踝部骨折
切开内固定
临床效果
Ankle fracture
Incision fixation
Clinical effect
