CAJ | 학술논문

目的:探讨俯卧位踝关节后外侧、内侧联合入路治疗三踝骨折的临床效果.方法:三踝骨折患者92例,随机分两组, 46例患者实施传统入路手术治疗为对照组,46例患者实施俯卧位踝关节后外侧、内侧联合入路治疗为观察组.结果:观察组手术时间、术中出血量、术后住院时间、骨折愈合时间明显少于对照组,观察组术后伤口情况明显好于对照组,观察组优良率、踝关节功能评分明显高于对照组,观察组并发症发生率明显低于对照组,(p<0.05).结论:俯卧位踝关节后外侧、内侧联合入路是治疗三踝骨折的有效方法,可明显改善患者的踝关节功能.
목적:탐토부와위과관절후외측、내측연합입로치료삼과골절적림상효과.방법:삼과골절환자92례,수궤분량조, 46례환자실시전통입로수술치료위대조조,46례환자실시부와위과관절후외측、내측연합입로치료위관찰조.결과:관찰조수술시간、술중출혈량、술후주원시간、골절유합시간명현소우대조조,관찰조술후상구정황명현호우대조조,관찰조우량솔、과관절공능평분명현고우대조조,관찰조병발증발생솔명현저우대조조,(p<0.05).결론:부와위과관절후외측、내측연합입로시치료삼과골절적유효방법,가명현개선환자적과관절공능.
Objective To investigate clinical effect of prone position after ankle lateral, medial combined approach in treatment of trimalleolar fracture.Methods 92 patients with trimalleolar fracture were randomly divided into two groups.46 patients treated traditional approach operation as control group. 46 patients treated prone position after ankle lateral, medial combined approach as observation group.Results Operation time; intraoperative bleeding amount; postoperative hospitalization time; fracture healing time in observation group were significantly less than control group. Postoperative wound in observation group was significantly better than control group. Excellent and good rate; ankle function score in observation group were significantly higher than control group .Incidence of complicationsin observation group was significantly lower than control group. (P<0.05).Conclusion Prone position after ankle lateral, medial combined approach is an effective method in treatment of trimalleolar fracture, which can significantly improve ankle joint function.