改良踝关节后外侧入路联合内侧入路切开复位内固定治疗三踝骨折的临床效果.pdf
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1、论著 临床论坛CHINESE COMMUNITY DOCTORS中国社区医师2024年第40卷第7期中国社区医师2024年第40卷第7期踝关节是人体重要负重关节,三踝骨折即内踝、外踝和后踝同时发生不同程度的骨折,可引起局部肿胀、疼痛及活动障碍等症状,若治疗不及时,可造成骨折不愈合或骨折畸形愈合,致使患者长期疼痛、行走障碍,严重影响患者的生活质量1-2。切开复位内固定术是治疗三踝骨折的常用术式,后外侧入路联合改良踝关节后外侧入路联合内侧入路切开复位内固定治疗三踝骨折的临床效果沈小军438200麻城市人民医院,湖北 黄冈doi:10.3969/j.issn.1007-614x.2024.07.01
2、5摘要目的:探讨改良踝关节后外侧入路联合内侧入路切开复位内固定治疗三踝骨折的临床效果。方法:选取2020年2月2021年12月麻城市人民医院收治的三踝骨折患者72例作为研究对象,采用双盲法分为对照组和试验组,各36例。两组患者均行切开复位内固定术治疗,对照组采用常规踝关节后外侧入路联合内侧入路,试验组采用改良踝关节后外侧入路联合内侧入路。比较两组治疗效果。结果:试验组并发症总发生率低于对照组,差异有统计学意义(P=0.006)。治疗前,两组踝关节背伸、跖屈、外翻、内翻活动度比较,差异无统计学意义(P0.05);治疗后6个月,两组踝关节背伸、跖屈、外翻、内翻活动度均大于治疗前,且试验组大于对照组
3、,差异有统计学意义(P0.05)。治疗前,两组美国矫形足踝学会(AOFAS)踝-后足指数评分量表评分比较,差异无统计学意义(P0.05);治疗后6个月,两组AOFAS踝-后足指数评分量表评分高于治疗前,且试验组高于对照组,差异有统计学意义(P0.001)。结论:改良踝关节后外侧入路联合内侧入路切开复位内固定治疗三踝骨折的临床效果显著,能改善踝关节活动度与功能,减少并发症。关键词三踝骨折;改良踝关节后外侧入路;内侧入路中图分类号R687.3文献标识码AClinical Effect of Modified Ankle Joint Posterolateral Approach Combined
4、with Medial Approach for Open Reductionand Internal Fixation in Treatment of Trimalleolar FractureShen XiaojunPeoples Hospital of Macheng City,Huanggang 438200,Hubei Province,ChinaAbstractObjective:To investigate the clinical effect of modified ankle joint posterolateral approach combined with media
5、lapproach for open reduction and internal fixation in treatment of trimalleolar fracture.Methods:Seventy-two patients withtrimalleolar fracture admitted to Peoples Hospital of Macheng City from February 2020 to December 2021 were selected as thestudy subjects.They were divided into control group and
6、 experimental group with 36 patients in each group by double-blindmethod.All patients in two groups were treated with open reduction and internal fixation.The control group was treated withconventional ankle joint posterolateral approach combined with medial approach,and the experimental group was t
7、reated withmodified ankle joint posterolateral approach combined with medial approach.The treatment effects were compared between the twogroups.Results:The total incidence of complications in the experimental group was lower than that in the control group,and thedifference was statistically signific
8、ant(P=0.006).Before treatment,there was no significant difference in the ranges of motion ofankle joint dorsal extension,plantar flexion,valgus and varus between the two groups(P0.05);At 6 months after treatment,theranges of motion of ankle joint dorsal extension,plantar flexion,valgus and varus in
9、the two groups were higher than those beforetreatment,and these ranges in the experimental group were higher than those in the control group,and the difference wasstatistically significant(P0.05);At 6 months after treatment,the scores of theAOFAS ankle-hindfoot scale in the two groups were higher th
10、an those before treatment,and these scores in the experimental groupwere higher than those in the control group,and the difference was statistically significant(P0.001).Conclusion:The modifiedankle joint posterolateral approach combined with medial approach for open reduction and internal fixation h
11、as significant clinicaleffects in treatment of trimalleolar fracture,and can improve the range of motion and function of ankle joint,and reduce thecomplications.Key wordsTrimalleolar fracture;Modified posterolateral approach to the ankle joint;Medial approach41论著 临床论坛CHINESE COMMUNITY DOCTORS中国社区医师2
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- 关 键 词:
- 改良 踝关节 外侧 联合 内侧 切开 复位 固定 治疗 踝骨 临床 效果
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