国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
10期
1386-1388
,共3页
旋前外旋型Ⅳ度踝关节骨折%手术%疗效
鏇前外鏇型Ⅳ度踝關節骨摺%手術%療效
선전외선형Ⅳ도과관절골절%수술%료효
Ⅳ degree pronation-external rotation ankle fractures%Surgery%Efficacy
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.
目的 觀察鏇前外鏇型Ⅳ度踝關節骨摺行手術治療的臨床療效.方法 選擇60例鏇前外鏇型Ⅳ度踝關節骨摺患者為對象,行手術治療,根據外踝固定物質分為兩組,A組30例採用普通鋼闆,B組30例採用鎖定鋼闆,比較兩組的療效差異.結果 A組患者的總有效率為93.33％(28/30),腫脹消退時間為(26.35±5.52)d,骨摺愈閤時間為(9.98±3.15)週,併髮癥髮生率為6.67％(2/30);B組患者分彆為96.67％(29/30)、(25.95±5.30)d、(9.25±4.90)週、3.33％ (1/30);兩組患者各項數據差異均無統計學意義(P＞0.05).結論 手術治療鏇前外鏇型Ⅳ度踝關節骨摺,具有較高療效,且不同的固定物質均適用于外踝固定.
목적 관찰선전외선형Ⅳ도과관절골절행수술치료적림상료효.방법 선택60례선전외선형Ⅳ도과관절골절환자위대상,행수술치료,근거외과고정물질분위량조,A조30례채용보통강판,B조30례채용쇄정강판,비교량조적료효차이.결과 A조환자적총유효솔위93.33％(28/30),종창소퇴시간위(26.35±5.52)d,골절유합시간위(9.98±3.15)주,병발증발생솔위6.67％(2/30);B조환자분별위96.67％(29/30)、(25.95±5.30)d、(9.25±4.90)주、3.33％ (1/30);량조환자각항수거차이균무통계학의의(P＞0.05).결론 수술치료선전외선형Ⅳ도과관절골절,구유교고료효,차불동적고정물질균괄용우외과고정.
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.
