CAJ | 학술논문

目的：探讨不同手术方式治疗踝部骨折的临床效果。方法：收治踝部骨折患者57例，对所有患者均采取克氏针或螺钉(包括空心钉)或钢板螺钉内固定治疗，按骨折类型分别采取不同的手术方式，比较不同手术方式患者术后足部功能评分及临床疗效。结果：3组患者的术后足部功能评分比较，差异无统计学意义(P＞0.05)。3组患者的疗效比较，差异无统计学意义(P＞0.05)。结论：对不同类型的踝部骨折，采用不同的切开复位内固定治疗方法，配合早期肢体锻炼，术后功能恢复良好，临床效果显著，值得推广使用。
목적：탐토불동수술방식치료과부골절적림상효과。방법：수치과부골절환자57례，대소유환자균채취극씨침혹라정(포괄공심정)혹강판라정내고정치료，안골절류형분별채취불동적수술방식，비교불동수술방식환자술후족부공능평분급림상료효。결과：3조환자적술후족부공능평분비교，차이무통계학의의(P＞0.05)。3조환자적료효비교，차이무통계학의의(P＞0.05)。결론：대불동류형적과부골절，채용불동적절개복위내고정치료방법，배합조기지체단련，술후공능회복량호，림상효과현저，치득추엄사용。
Objective:To explore the clinical effect of different operation methods in the treatment of ankle fracture.Methods:57 cases with ankle fracture were selected.All the patients were treated with kirschner wire or screw(including hollow screw) or steel screw internal fixation treatment.According to the fracture types,they were given different operation methods.The postoperative foot function scores and clinical effects of patients with different operation methods were compared.Results:The postoperative foot function scores of patients in three groups were compared,and the difference was not statistically significant(P<0.05).The clinical effects of patients in three groups were compared,and the difference was not statistically significant(P<0.05).Conclusion:The different types of ankle fractures are treated with open reduction and internal fixation in different methods,combined with early postoperative physical exercise.The functional recovery of patients is good.The clinical effect is significant.It is worthy to be popularized.