CAJ | 학술논문

目的比较外侧钢板与抗滑钢板在治疗旋后外旋型三踝骨折的手术效果的差异.方法回顾性分析了在2009-2011年31例符合标准的旋后外旋型三踝骨折手术治疗的资料,17例采用抗滑钢板治疗,14例采用传统外侧钢板治疗,随访时间14～38个月,平均26.6个月.患者功能效果采用Olerud and Molander评分系统,采用成组设计的t检验对两组患者的受伤到手术时间、手术时间、止血带时间、住院时间以及踝关节功能评分各自进行评价.结果受伤到手术时间,手术时间,止血带时间,住院时间以及踝关节功能评分均无统计学差异.结论旋后外旋型三踝骨折两组患者手术治疗均取得好的功能效果,数据结果不支持一种手术方式优于另一种手术方式.
목적 비교외측강판여항활강판재치료선후외선형삼과골절적수술효과적차이.방법 회고성분석료재2009-2011년31례부합표준적선후외선형삼과골절수술치료적자료,17례채용항활강판치료,14례채용전통외측강판치료,수방시간14～38개월,평균26.6개월.환자공능효과채용Olerud and Molander평분계통,채용성조설계적t검험대량조환자적수상도수술시간、수술시간、지혈대시간、주원시간이급과관절공능평분각자진행평개.결과 수상도수술시간,수술시간,지혈대시간,주원시간이급과관절공능평분균무통계학차이.결론 선후외선형삼과골절량조환자수술치료균취득호적공능효과,수거결과불지지일충수술방식우우령일충수술방식.
Objective To assess the outcomes of the surgical treatment of supination external rotation trimalleolar fractures,comparing the techniques of lateral plating and antiglide plating as described previously.Methods This is a retrospective review.A total of 31 patients meeting our inclusion criteria,with supination external rotation trimalleolar fractures surgically treated between 2009 and 2011,were studied.17 patients were treated with antiglide plating,whereas the remaining 14 patients underwent traditional lateral plating.They were followed up by a period ranging from 14 to 38 months(average,26 months).The functional results were evaluated with olerud and molander scoring system described previously.All the data including time to surgery,operating room time,tourniquet time,hospital stay and ankle joint function scores,were respectively analyzed in accordance with the complete randomized design t-test.Results There was no statistically significant in time to surgery,operating room,tourniquet time,hospital stay and ankle joint functional scores.Conclusions The outcome of the surgical management of supination external rotation trimalleolar fracture is comparable with both techniques.Our data do not support one technique over the other.