| 王治国.经皮空心螺钉内固定治疗踝关节骨折疗效分析[J].中国烧伤创疡杂志,2022,(1):39~41. |
| DOI： |
| 中文关键词: 经皮空心螺钉内固定 切开复位钢板内固定 踝关节 骨折 美国矫形外科足踝协会踝-后足
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| 英文关键词:Percutaneous internal fixation with hollow screw Open reduction and plate internal fixation Ankle
joint Fracture AOFAS ankle-hindfoot score |
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| 中文摘要: |
| 【摘要】目的 探讨经皮空心螺钉内固定治疗踝关节骨折的临床疗效。方法 选取2017年10月至2020年3月方城县人民医院收治的80例踝关节骨折患者作为研究对象，并按照随机数表法将其随机分为治疗组与对照组，每组40例，治疗组患者行经皮空心螺钉内固定治疗，对照组患者行传统切开复位钢板内固定治疗，对比两组患者美国矫形外科足踝协会（AOFAS）踝-后足评分、踝关节功能恢复优良率以及术后并发症发生情况。结果 术后6个月，治疗组患者AOFAS踝-后足评分为（86.55±9.39）分，明显高于对照组患者的AOFAS踝-后足评分（72.55±8.43）分（t=7.016，P＜0.001）；治疗组患者中优29例、良9例、可2例，明显优于对照组患者中的优19例、良10例、可11例（Z=-2.632，P=0.008）。其间，治疗组患者并发症发生率为2.50%，明显低于对照组患者的术后并发症发生率32.50%（χ2=12.467，P＜0.001）。结论 与传统切开复位钢板内固定相比，经皮空心螺钉内固定可明显提高踝关节骨折患者踝关节功能恢复情况，减少术后并发症的发生，疗效更显著。 |
| 英文摘要: |
| 【Abstract】 Objective To analyze the clinical efficacy of percutaneous internal fixation with hollow screw in the treatment of ankle fractures. Methods 80 patients with ankle fractures, admitted to Fangcheng People’s Hospital from October 2017 to March 2020, were enrolled and divided, using random number table, into treatment group (n = 40) and control group (n =40). Patients in treatment group underwent percutaneous internal fixation with hollow screw, whereas patients in control group received traditional open reduction and plate internal fixation. American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, excellent and good rate of ankle function recovery and the occurrence of postoperative complications were compared between the two groups. Results 6 months after operation, the AOFAS ankle-hindfoot score in treatment group was (86.55±9.39) points, which was significantly higher than the (72.55±8.43) points in
control group (t = 7.016, P < 0.001); in treatment group, the ankle function recovery was evaluated as excellent in 29 cases, good in 9 cases, and fair in 2 cases, which were much better than the control group-excellent in 19 cases, good in 10 cases, fair in 11 cases (Z = - 2.632, P = 0.. 008). The incidence of complications after operation in treatment groupwas 2.5%, much lower than 32.5% in control group (χ2 =12.467, P <0.001). Conclusion Compared with traditional open reduction and plate internal fixation, percutaneous internal fixation with hollow screw is better in promoting the recovery of ankle function and reducing the occurrence of postoperative complications, and the clinical efficacy was definite. |
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