Comparclinical Efficacy of Instrumentation with Different Approaches in Patients with Posterior Spiral Ⅳ Ankle Fractures
Objective To analyze the clinical efficacy of different approaches in patients with posterior spiral Ⅳ ankle fractures.Methods A total of seventy patients with Ⅳ degree ankle fracture of supination external rotation treated in Yanzhou District People's Hospital of Jining City from June 2021 to July 2023 were non-randomly selected as the study objects,and were divided into control group and study group according to different surgical methods,with thirty-five cases in each group.The control group underwent transfibula approach and the study group underwent transfibula posterolateral approach.The clinical efficacy,the score of foot function scoring system and the incidence of complica-tions were compared between the two groups.Results The intraoperative blood loss of the study group was less than that of the control group,and the operation time,hospital stay and fracture healing time were all shorter than that of the control group,the differences were statistically significant(all P<0.05).The excellent and good rate of ankle joint in the study group was higher than that in the control group,the difference was statistically significant(P<0.05).The complication rate of the study group was 5.71% (2/35),which was significantly lower than 22.86% (8/35)of the control group,the difference was statistically significant(χ2=4.200,P<0.05).Conclusion In the treatment of Ⅳ degree ankle fracture with supination external rotation,transfibula posterolateral approach has better clinical efficacy,less intraop-erative injury to patients,which is conducive to postoperative rehabilitation of patients,and can improve ankle joint function and reduce the risk of complications.
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