Effect of Transfibular Posterolateral Approach Internal Fixation of the Fibula on Clinical Indicators and Ankle Function in Patients with Supinated External Rotation Type Ⅳ Ankle Fractures
Objective To explore the clinical effect of transfibular posterolateral approach (TPA) internal fixation for the treatment of supinated external rotation type Ⅳ ankle fractures (AF).Methods A total of 72 patients with supinated external rotation type Ⅳ AF admitted to our hospital from May 2021 to June 2023 were selected as the study subjects and were divided into a control group and an observation group using a random number table method, with 36 cases in each group.The control group received treatment with transfibular approach (TA) internal fixation, while the observation group received treatment with TPA internal fixation.The clinically relevant indicators, pain visual analogue scale (VAS) scores, Oswsetry disability index (ODI) scores, ankle joint function, quality of life and complications between the groups were compared.Results The surgery, postoperative hospitalization, complete weight-bearing, and fracture healing time of the control group were (102.41±9.85) minutes, (10.12±1.02) days, (20.14±2.35) weeks and (9.14±1.12) weeks, which were shorter than the control group's (115.74 ±10.37) minutes, (12.85 ±1.43) days, (24.58 ±2.43) weeks and (12.54 ±1.33) weeks, the intraoperative blood loss was (220.41±25.71)mL, which was lower than the control group's (265.79±26.34)mL, the differences between the groups were statistically significant (P<0.05).The postoperative VAS score and ODI score of the observation group were (1.25± 0.22) points and (10.11±1.03) points, which were lower than the control group's (1.87±0.24) points and (13.87±1.25) points, while the American Orthopaedic Foot and Ankle Society ankle hindfoot scale score was (88.65±6.21) points, which was higher than the control group's (80.47±5.87) points, the differences between the groups were statistically significant (P<0.05).The postoperative World Health Organization quality of life-BREF scale scores in various fields of the observation group were (88.25±5.24) points, (87.28±5.19) points, (89.13±5.25) points and (90.52±4.12) points, which were higher than the control group's (81.32 ±5.21) points, (80.11 ±5.09) points, (82.34 ±5.18) points and (83.57 ±4.58) points, while the incidence of complications is lower than that of the control group, the differences between the groups were statistically significant (P<0.05).Conclusion TPA internal fixation is more effective in the treatment of supinated external rotation type Ⅳ AF, which can reduce surgical trauma, lower postoperative VAS score, accelerate ankle joint function recovery, and is safe and reliable.
Ankle fractureInternal fixationTransfibular posterolateral approachAnkle joint function
NETL
NSTL
万方数据
