The Effect of Open Reduction and Closed Reduction Internal Fixation in the Treatment of Logsplitter Fracture of Ankle Joint
Objective:To explore the clinical effects of open reduction and closed reduction internal fixation in the treatment of high-energy ankle joint Logsplitter fractures(dislocation of ankle joint fractures through the lower tibiofibular joint).Method:A total of 87 patients with Logsplitter fracture of the ankle joint admitted to the Orthopedics Department of Shangrao Municipal Hospital from June 2018 to May 2021 were selected as the study subjects.The patients were divided into group A and group B by random number table method;47 patients with open reduction and internal fixation were treated in group A,and 40 patients with closed reduction and internal fixation were treated in group B.The surgical results of the two groups were compared during a follow-up of 12 months.Result:Follow-up statistics showed that there were no significant differences in the incidences of traumatic osteoarthritis,delayed fracture healing and postoperative infection between the two groups(P>0.05).There were not significant differences in ankle function score,ankle extension,valgus,varus range of motion and fracture healing time between the two groups 12 months after operation(P>0.05).At 12 months after surgery,the indexes of bone metabolism in group A:bone alkaline phosphatase(BALP),osteocalcin(OCN)and propeptide of type Ⅰ procollagen(PⅠNP)were higher than those in group B,β collagen degradation products(β-CTX)was lower than that of group B,the differences were statistically significant(P<0.05).Conclusion:Open reduction internal fixation for emergency treatment of different types of high-energy ankle Logsplitter fractures can achieve effective treatment results,and this operation has good safety.
Fracture of ankle joint LogsplitterInternal fixationJoint functionComplication
万方数据
维普
