Clinical Application Value of Lateral Supine Posterolateral Approach in the Treatment of Ⅲ and Ⅳ Degree Ankle Fractures of Supination-external Rotation Type
Objective:To investigate the clinical value of lateral supine posterolateral approach in the treatment of Ⅲ and Ⅳ degree ankle fractures of supination-external rotation type.Method:The data of 80 patients with ankle fractures who underwent open reduction and internal fixation in the Orthopedics and Traumatology Department of Taizhou Traditional Chinese Medicine Hospital from October 2021 to April 2023 were retrospectively analyzed.Among them,40 patients who chose supine position posterolateral approach were set as control group,and 40 patients who chose lateral position posterolateral approach were set as study group.The operative and postoperative conditions of the two groups were compared,and the ankle joint conditions before and after operation of the two groups were compared.Result:There was no significant difference in intraoperative blood loss between the two groups(P＞0.05);the operation time,hospital stay and fracture healing time of the study group were shorter than those of the control group,the differences were statistically significant(P＜0.05);the incidence of postoperative complications in the study group was lower than that in the control group,the difference was statistically significant(P＜0.05).The pain score,C reactive protein and interleukin-6 of the study group were lower than those of the control group on the 1st to 3rd day after surgery,the differences were statistically significant(P＜0.05).At 8 weeks after surgery,the ankle joint motion and foot and ankle function score of the study group were higher than those of the control group,the differences were statistically significant(P＜0.05).Conclusion:In the open reduction and internal fixation surgery for patients with supination-external rotation type Ⅲ and Ⅳ ankle joint fractures,choosing the lateral supine position posterolateral approach can achieve better clinical efficacy than the posterior medial approach without increasing intraoperative blood loss,it can effectively improve ankle function and limited ankle joint activity in patients,reduce postoperative pain sensation and inflammatory response,and reduce the risk of postoperative complications,enable patients to be discharged smoothly and promote the healing of fractures.
万方数据
维普
