后踝固定治疗踝关节骨折的临床疗效
李永宁1，王建年2
（1.陕西省汉中市宁强县天津医院骨科，陕西 汉中，724400；2.陕西省洛南县医院骨二科，陕西 商洛，726100）
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摘要：
目的 探析后踝固定治疗踝关节骨折的临床效果。方法 选择2014年8月至2016年3月在我院接受诊治的116例踝关节骨折患者为研究对象。随机分成观察组及对照组，每组58例。观察组患者给予后踝固定进行治疗，对照组患者给予手法复位和 石膏外固定治疗。对比两组患者的治疗效果。结果 观察组患者的总有效率为96.55%，明显高于对照组的72.41%，差异具有统计学意义（X2=12.89，P<0.01）；治疗后，观察组患者的骨折愈合时间、住院时间明显短于对照组（P<0.05）；骨折复位评分、骨性关 节炎评分、临床评分均明显高于对照组（P<0.05）；观察组患者的并发症发生率明显低于对照组（P<0.05）。结论 采用后踝固定治疗踝关节骨折患者的临床疗效显著，可有效降低并发症发生率，缩短骨折愈合时间及住院时间，值得临床应用与推广。
关键词：后踝固定；踝关节骨折；骨折复位
中图分类号：R687.3文献标志码：A文章编号：2096-1413(2016)26-0070-02
Clinical effect of posterior malleolar fixation in the treatment of ankle joint fracture
LI Yong-ning 1, WANG Jian-nian 2
(1. Department of Orthopedics, Tianjin Hospital of Ningqiang County, Hanzhong 724400; 2. the Second Department of Orthopaedics, Luonan County Hospital, Shangluo 726100, China)
ABSTRACT: Objective To discuss the effect of posterior malleolar fixation in the treatment of ankle joint fracture. Methods One hundred and sixteen cases of patients with ankle joint fracture admitted in our hospital from August 2014 to March 2016 were selected, and they were randomly divided into observation group and control group, with 58 cases in each group. The observation group was treated with posterior malleolar fixation, while the control group was treated with manual reduction and plaster immobilization. The clinical effects of two groups were compared. Results The total effective rate of the observation group was 96.55%, which was significantly higher than 72.41% of the control group, the difference was statistically significant ( X2=12.89, P<0.01). After treatment, the fracture cure time, hospital stay of the observation group were obviously shorter than those of the control group (P<0.05). The fracture reduction score, osteoarthritis score and clinical score of the observation group were obviously higher than those of the control group (P<0.05). The incidence rate of complications in the observation group was obviously lower than that of the control group (P<0.05). Conclusion Posterior malleolar fixation in treatment of ankle joint fracture has significant clinical effect, which can reduce the incidence of complications, shorten the fracture cure time and the length of hospital stay. It is worthy of clinical application.
KEYWORDS: posterior malleolar fixation; ankle joint fracture; reduction of the fracture
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