Comparison of clinical effect of internal fixation with headless double-compression screw and cannulated screw in the treatment of ankle fractures
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目的 对比分析无头双加压螺钉与空心螺钉内固定治疗踝关节骨折的临床效果。 方法 抽取2020年10月至2022年10月濮阳市油田总医院收治的踝关节骨折患者78例，按随机数字表法分为无头双加压螺钉组与空心螺钉组，每组39例。空心螺钉组采用空心螺钉内固定，无头双加压螺钉组采用无头双加压螺钉内固定。比较两组围术期情况、踝关节功能恢复优良率、踝关节活动度改善情况、Barthel指数、疼痛视觉模拟评分法(VAS)评分及并发症发生率。 结果 两组手术时间、术中出血量比较差异未见统计学意义(P>0.05)；无头双加压螺钉组骨折愈合时间短于空心螺钉组(P<0.05)。无头双加压螺钉组踝关节功能恢复优良率(97.44%，38/39)高于空心螺钉组(79.49%，31/39)，P<0.05。术后6个月，无头双加压螺钉组踝关节屈、伸、旋前、旋后活动度高于空心螺钉组(P<0.05)，Barthel指数大于空心螺钉组(P<0.05)；术后1、3、6个月，无头双加压螺钉组疼痛VAS评分均低于空心螺钉组(P均<0.05)。无头双加压螺钉组并发症发生率(2.56%，1/39)低于空心螺钉组(20.51%，8/39)，P<0.05。 结论 与常规空心螺钉内固定相比，无头双加压螺钉内固定治疗踝关节骨折可减轻患者疼痛度、降低并发症发生率，能加快骨折愈合和踝关节功能恢复，提高日常生活能力。 Objective To compare and analyze the clinical effect of internal fixation with headless double-compression screw and cannulated screw in the treatment of ankle fractures. Methods A total of 78 patients with ankle fractures treated in Puyang Oilfield General Hospital from October 2020 to October 2022 were selected, and they were divided into headless double-compression screw group and cannulated screw group according to the random number table method, with 39 cases in each group. The cannulated screw group was treated by internal fixation with cannulated screw, and the headless double-compression screw group was treated by internal fixation with headless double-compression screw. The perioperative conditions, excellent and good rate of ankle joint function recovery, improvement of ankle joint activity, Barthel index, visual analogue scale (VAS) score, and incidence of complications were compared between the two groups. Results There was no significant difference in operation in operation time and intraoperative blood loss between the two groups (P>0.05). The fracture healing time of the headless double-compression screw group was shorter than that of the cannulated screw group (P<0.05). The excellent and good rate of ankle function recovery in the headless double-compression screw group was 97.44% (38/39), which was higher than 79.49% (31/39) in the cannulated screw group (P<0.05). At 6 months after operation, the flexion, extension, pronation, and supination activities of ankle joint in the headless double-compression screw group were higher than those in the cannulated screw group (P<0.05), the Barthel index of the headless double-compression screw group was higher than that of the cannulated screw group (P<0.05). The VAS score of pain in the headless double-compression screw group was lower than that in the cannulated screw group 1, 3 and 6 months after operation (allP<0.05). The incidence of complications in the headless double-compression screw group was 2.56% (1/39), which was lower than 20.51% (8/39) in the cannulated screw group (P<0.05). Conclusions Compared with the conventional cannulated screw, internal fixation with headless double-compression screw in the treatment of ankle fractures can relieve pain, reduce the incidence of complications, accelerate fracture healing and ankle joint function recovery, and improve the ability of daily living.
Objective To compare and analyze the clinical effect of internal fixation with headless double-compression screw and cannulated screw in the treatment of ankle fractures. Methods A total of 78 patients with ankle fractures treated in Puyang Oilfield General Hospital from October 2020 to October 2022 were selected, and they were divided into headless double-compression screw group and cannulated screw group according to the random number table method, with 39 cases in each group. The cannulated screw group was treated by internal fixation with cannulated screw, and the headless double-compression screw group was treated by internal fixation with headless double-compression screw. The perioperative conditions, excellent and good rate of ankle joint function recovery, improvement of ankle joint activity, Barthel index, visual analogue scale (VAS) score, and incidence of complications were compared between the two groups. Results There was no significant difference in operation in operation time and intraoperative blood loss between the two groups (P>0.05). The fracture healing time of the headless double-compression screw group was shorter than that of the cannulated screw group (P<0.05). The excellent and good rate of ankle function recovery in the headless double-compression screw group was 97.44% (38/39), which was higher than 79.49% (31/39) in the cannulated screw group (P<0.05). At 6 months after operation, the flexion, extension, pronation, and supination activities of ankle joint in the headless double-compression screw group were higher than those in the cannulated screw group (P<0.05), the Barthel index of the headless double-compression screw group was higher than that of the cannulated screw group (P<0.05). The VAS score of pain in the headless double-compression screw group was lower than that in the cannulated screw group 1, 3 and 6 months after operation (allP<0.05). The incidence of complications in the headless double-compression screw group was 2.56% (1/39), which was lower than 20.51% (8/39) in the cannulated screw group (P<0.05). Conclusions Compared with the conventional cannulated screw, internal fixation with headless double-compression screw in the treatment of ankle fractures can relieve pain, reduce the incidence of complications, accelerate fracture healing and ankle joint function recovery, and improve the ability of daily living.
Ankle fracturesHeadless double-compression screwInternal fixation with cannulated screw
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