CAJ | 학술논문

目的：探讨手法复位联合夹板固定在Lauge-Hansen Ⅱ~Ⅲ度踝部骨折脱位的临床效果。方法将84例踝部骨折患者分为观察组与对照组，对照组采用切开复位螺钉内固定手术进行治疗，观察组采用手法复位联合夹板固定治疗。结果观察组与对照组的手术时间分别为（61.5±9.4）min vs（36.9±7.6）min，术中出血量为（84.2±12.1）mL vs（24.3±5.8）mL，骨折愈合时间为（6.2±2.3）d vs（7.5±2.6）d，术后7周踝关节功能评分为（81.4±4.4）分 vs（77.8±4.3）分，经过对比，均P＜0.05，术后10周观察组踝关节功能评分（92.4±5.1）分vs（91.8±4.9）分，P＞0.05。结论手法复位联合夹板固定在Lauge-Hansen Ⅱ~Ⅲ度踝部骨折脱位中具有手术时间短、术中出血量少及骨折愈合时间短等特点，值得Lauge-Hansen Ⅱ~Ⅲ度踝部骨折脱位患者应用。
목적：탐토수법복위연합협판고정재Lauge-Hansen Ⅱ~Ⅲ도과부골절탈위적림상효과。방법장84례과부골절환자분위관찰조여대조조，대조조채용절개복위라정내고정수술진행치료，관찰조채용수법복위연합협판고정치료。결과관찰조여대조조적수술시간분별위（61.5±9.4）min vs（36.9±7.6）min，술중출혈량위（84.2±12.1）mL vs（24.3±5.8）mL，골절유합시간위（6.2±2.3）d vs（7.5±2.6）d，술후7주과관절공능평분위（81.4±4.4）분 vs（77.8±4.3）분，경과대비，균P＜0.05，술후10주관찰조과관절공능평분（92.4±5.1）분vs（91.8±4.9）분，P＞0.05。결론수법복위연합협판고정재Lauge-Hansen Ⅱ~Ⅲ도과부골절탈위중구유수술시간단、술중출혈량소급골절유합시간단등특점，치득Lauge-Hansen Ⅱ~Ⅲ도과부골절탈위환자응용。
Objective To explore the clinical effect of manipulative reduction and splint in the Lauge-HansenⅡ - Ⅲ ankle fracture and dislocation. Methods 84 cases of ankle fracture were divided into observation group and control group, the control group were treated with open reduction and internal fixation operation for treatment, observation group were treated with manipulative reduction and splint fixation. Results The operation time of the observation group and the control group respectively (61.5±9.4)min, vs(36.9±7.6)min, the amount of intraoperative bleeding was (84.2±12.1)mL, vs(24.3 ± 5.8)mL, fracture healing time was (6.2±2.3)d, vs(7.5±2.6)d, after 7 weeks of ankle function score was (81.4±4.4) vs(77.8±4.3)points, After contrast, P < 0.05, group of ankle joint function were observed 10 weeks postoperative score (92.4±5.1) vs(91.8±4.9), P > 0.05. Conclusion Manual reduction combined with splint fixation in Lauge-Hansen Ⅱ-Ⅲ ankle fracture with shorter operation time, less bleeding and short healing time of fracture dislocation, were worth treating in Lauge-HansenⅡ-Ⅲankle fracture.