首页|微型钢板内固定术在Bartonicek Ⅲ型后踝关节骨折的应用

微型钢板内固定术在Bartonicek Ⅲ型后踝关节骨折的应用

扫码查看
目的 分析微型钢板内固定术在Bartonicek Ⅲ型后踝关节骨折的应用。方法 选取 2023 年 1 月至 2024 年 1月在南阳市中心医院确诊的 96 例踝关节骨折患者,根据不同的治疗方式分为研究组(n=40)和对照组(n=56),对照组采用空心钉内固定术,研究组采用微型钢板内固定术。在术后 3 个月,比较两组患者手术相关指标、疗愈情况及术后并发症;分别在术前、术后 3 个月,比较两组患者踝关节活动度和美国足踝外科医师协会(AOFAS)评分。结果 在术后,研究组出血量、消肿时间和伤口拆线时间均短于对照组,差异有统计学意义(P<0。05);术后 3 个月,研究组踝关节内翻及外翻角度低于对照组,背伸及跖屈角度均高于对照组,差异有统计学意义(P<0。05);术后 3 个月,研究组及对照组AOFAS得分均高于手术前,且研究组高于对照组,差异有统计学意义(P<0。05);术后 3 个月,研究组愈合率(95。00%)高于对照组(80。36%),差异有统计学意义(P<0。05);术后3个月,研究组并发症发生情况低于对照组,差异有统计学意义(P<0。05)。结论 采用微型钢板内固定术治疗Bartonicek Ⅲ型后踝关节骨折患者,可加快术后愈合,减少并发症。
Application of Miniature Steel Plate Internal Fixation in Bartonicek Type Ⅲ Ankle Fracture
Objective To analyze the application of miniature steel plate internal fixation in Bartonicek Ⅲ ankle fracture.Methods 96 patients with ankle fractures diagnosed in Nanyang Central Hospital from January 2023 to January 2024 were selected.According to different treatment methods,they were divided into a research group(n=40)and a control group(n=56).The control group was treated with hollow nail internal fixation,and the research group was treated with miniature steel plate internal fixation.Three months after surgery,the surgical related indicators,healing conditions,and postoperative complications of the two groups were compared.Before surgery and three months after surgery,the ankle joint mobility and American Orthopedic Foot and Ankle Society(AOFAS)scores of the two groups were compared.Results After surgery,the blood loss,swelling time,and wound suture removal time of the research group were shorter than those of the control group,and the difference was statistically significant(P<0.05).Three months after surgery,the internal and external rotation angles of the ankle joint in the research group were lower than those in the control group,and the dorsiflexion and plantarflexion angles were higher than those in the control group,and the difference was statistically significant(P<0.05).Three months after surgery,the AOFAS scores of the research group and the control group were higher than before surgery,and the research group was higher than the control group,and the difference was statistically significant(P<0.05).Three months after surgery,the healing rate of the research group(95.00%)was higher than that of the control group(80.36%),and the difference was statistically significant(P<0.05).Three months after surgery,the incidence of complications in the research group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The use of miniature steel plate internal fixation to treat patients with Bartonicek Type Ⅲ ankle fracture can accelerate postoperative healing and reduce complications.

miniature steel plate internal fixationbartonicek type Ⅲankle fracture

任喜颂、时艳华、杜娟

展开 >

南阳市中心医院 急诊创伤外科,河南 南阳 473000

微型钢板内固定术 Bartonicek Ⅲ型 踝关节骨折

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(8)