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微创内固定术治疗踝关节脱位患者的效果分析

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目的:探讨微创内固定术治疗踝关节脱位的效果及对患者踝关节功能的影响。方法:选取 2022年 1月—2024年 1 月天水市中西医结合医院收治的 98例踝关节脱位患者为研究对象,采用随机信封法分为常规组及微创组,各 49例。常规组行传统开放型手术,微创组行微创内固定术。比较两组围手术期指标、踝与后足功能、临床疗效、踝关节活动度及并发症发生情况。结果:微创组的术中出血量少于常规组,手术时间、住院时间及开始下地时间均短于常规组,差异均有统计学意义(P<0。05)。术后 6个月,微创组的美国踝与后足功能(AOFAS)评分高于常规组,踝关节跖屈、背伸活动度均大于常规组,差异均有统计学意义(P<0。05)。微创组的治疗总有效率为 93。88%,高于常规组的 79。59%,差异有统计学意义(P<0。05)。两组均无并发症发生。结论:微创内固定术治疗踝关节脱位的效果良好,能有效减少术中出血量,缩短手术时间、住院时间及术后首次下地时间,促进踝关节功能恢复,安全性良好。
Effect Analysis of Minimally Invasive Internal Fixation in the Treatment of Patients with Ankle Dislocation
Objective:To investigate the effect of minimally invasive internal fixation in the treatment of ankle dislocation and its effect on patients'ankle function.Methods:A total of 98 patients with ankle dislocation admitted to Tianshui Hospital of Integrated Traditional Chinese and Western Medicine from January 2022 to January 2024 were selected as the study objects,and were randomly divided into a conventional group and a minimally invasive group by envelope method,with 49 cases in each group.The conventional group underwent traditional open surgery,and the minimally invasive group underwent minimally invasive internal fixation.The perioperative indexes,ankle and hindfoot function,clinical efficacy,ankle range of motion and the occurrence of complications were compared between the two groups.Results:The intraoperative blood loss in the minimally invasive group was less than that in the conventional group,and the operative time,hospital stay and time of first landing after surgerywere shorter than those in the conventional group,the differences were statistically significant(P<0.05).Six months after surgery,the American Orthopaedic Foot and Ankle Society score of the minimally invasive group was higher than that of the conventional group,and the ankle plantar flexion and dorsiflexion mobility were bigger than those of the conventional group,the differences were statistically significant(P<0.05).The total effective rate of the minimally invasive group was 93.88%,which was higher than 79.59%of the conventional group,the difference was statistically significant(P<0.05).No complications occurred in both groups.Conclusion:Minimally invasive internal fixation is effective in the treatment of ankle dislocation,which can effectively reduce the amount of intraoperative bleeding,shorten the operation time,hospital stay and time of first landing after surgery,and promote the functional recovery of ankle joint with good safety.

Ankle dislocationMinimally invasive internal fixationAnkle joint functionClinical effectAnkle range of motion

王旭、蒋尧、坚勇

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甘肃省天水市中西医结合医院骨一科,甘肃 天水 741020

踝关节脱位 微创内固定技术 踝关节功能 临床疗效 踝关节活动度

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(20)