Effect of three-dimensional CT-guided open reduction and internal fixation in the treatment of displaced Salter-Harris Ⅱ pronation-eversion-external rotation distal tibial epiphyseal fractures in adolescents
Objective To investigate the effect of three-dimensional CT-guided open reduction and internal fixation(ORIF)in the treatment of displaced Salter-Harris Ⅱ pronation-eversion-external rotation distal tibial epiphyseal fractures in adolescents.Methods A prospective analysis was performed on 108 adolescents with displaced Salter-Harris Ⅱ pronation-eversion-external rotation distal tibial epiphyseal fractures admitted to Nantong Third People's Hospital from January 2020 to July 2023.The patients were divided into the observation group and the control group by the random number table method,with 54 cases in each group.The control group received conventional ORIF treatment,and the observation group received three-dimensional CT-guided ORIF treatment.The surgical outcomes of the two groups were compared.Results There was no significant difference in preoperative VAS scores between the observation group and the control group(P＞0.05).The operative duration,length of hospital stay and fracture healing time of the observation group were shorter than those of the control group(P＜0.05),while the intraoperative blood loss and VAS scores 1 month after the surgery in the observation group were lower than those in the control group(P＜0.05).The fracture healing outcomes of the observation group were better than those of the control group(P＜0.05).The decline in AOFAS scores 6 months after discharge,compared to the scores on the day of discharge,was greater in the observation group than in the control group(P＜0.05).The incidence of complications in the observation group was lower than that in the control group(P＜0.05).Conclusions The use of three-dimensional CT-guided ORIF for adolescent patients with displaced Salter-Harris Ⅱpronation-eversion-external rotation distal tibial epiphyseal fractures can significantly improve ankle joint function,alleviate pain,and reduce the incidence of complications,making it a treatment worth promoting.
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