Comparison of Fibula Posterolateral Approach and Fibula Approach for Internal Fixation of Supination External Rotation Type Ⅳ Degree Ankle Joint
Objective To compare the effect of internal fixation in the treatment of medial fibula posterolateral approach and fibula approach for Ⅳ degree ankle fracture with supination external rotation.Methods The patients with Ⅳ degree ankle fracture of supination external rotation treated in Kunshan Fourth People's Hospital from January 2014 to December 2022 were selected as the objects,and 50 of them were included for analysis.The control group and observation group were divided into 25 cases by computer method.The control group and observation group were treated by internal fixation via fibular approach and posterolateral fibular approach.The clinical indexes,complication rate and ankle joint function recovery were compared between the two groups.Results The intraoperative blood loss and incision length in the observation group were lower than those in the control group,and the operation time,hospital stay and fracture healing time were shorter than those in the control group,with statistical significance(P<0.05).The complication rate of the observation group was higher than that of the control group(P<0.05),and the ankle joint function score of the observation group was higher than that of the control group at three and six months after operation(P<0.05).Conclusion Fibula posterolateral approach is an ideal surgical method for patients with retroflex Ⅳ degree ankle fractures,which is less invasive and safer than fibular approach,and is beneficial to the ankle of patients recovery of joint function and range of motion.
Fibular posterolateral approachFibular approachInternal fixationⅣ degree supination and external rotation
万方数据
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