旋前外旋型Ⅳ度踝关节骨折的手术治疗效果

摘要

目的 观察旋前外旋型Ⅳ度踝关节骨折行手术治疗的临床疗效.方法 选择60例旋前外旋型Ⅳ度踝关节骨折患者为对象,行手术治疗,根据外踝固定物质分为两组,A组30例采用普通钢板,B组30例采用锁定钢板,比较两组的疗效差异.结果 A组患者的总有效率为93.33％(28/30),肿胀消退时间为(26.35±5.52)d,骨折愈合时间为(9.98±3.15)周,并发症发生率为6.67％(2/30);B组患者分别为96.67％(29/30)、(25.95±5.30)d、(9.25±4.90)周、3.33％ (1/30);两组患者各项数据差异均无统计学意义(P＞0.05).结论 手术治疗旋前外旋型Ⅳ度踝关节骨折,具有较高疗效,且不同的固定物质均适用于外踝固定.%Objective To observe surgical outcomes of Ⅳ degree pronation-external rotation ankle fractures.Methods 60 patients with Ⅳ degree pronation-external rotation ankle fractures underwent surgical treatment,who were divided into two groups according to lateral malleolus fixed substance,30 patients in group A with ordinary steel plate,30 patients in group B with locking steel plate,compared efficacy of two groups.Results The total effective rate of group A was 93.33％ (28/30),swelling subsided time was (26.35±5.52) days,fracture healing time was (9.98±3.15) weeks,complication rate was 6.67％ (2/30);those in group B were 96.67％ (29/30),(25.95±5.30) days,(9.25±4.90) weeks,3.33％ (1/30);there were no statistically significant differences between two groups (P＞0.05).Conclusion Surgical treatment of Ⅳ degree pronation-extemal rotation ankle fractures has high efficacy,and different materials are suitable for lateral malleolus fixation.