摘要
目的研究经皮加压空心螺钉内固定术在踝关节骨折中的应用,评价其疗效,推广在临床中的应用。方法选择2010年1月～2012年4月就诊的102例非粉碎性踝关节骨折的患者的临床资料进行回顾性分析,随机分为实验组56人和对照组46人,实验组采用经皮加压空心螺钉内固定术,对照组采取传统切开复位内固定术。采用X线片评估骨折愈合率,记录骨折愈合时间,采用美国足踝骨科协会(AOFAS)的足踝评分系统评价踝关节功能。同时记录手术时间及出血量。结果实验组骨折愈合时间为7～13周,按AOFAS评分系统评分,平均为96分(75～100分),有效率为96.5%,手术时间和出血量明显优于对照组,差异有统计学意义(P<0.05)。结论经皮加压空心螺钉内固定术比传统切开复位内固定术具有骨折愈合时间短,术后踝关节功能恢复良好,手术时间和出血量有明显优越性,适合临床中治疗踝关节骨折疗效较为优越的术式。
Objective To study by the application of The Piga pressure of cannulated screws in ankle fractures, to evaluate the efficacy of promotion in clinical. Methods Select from January 2010 to April 2012 in our hospital 102 cases of non-comminuted ankle fractures in patients with clinical data were retrospectively analyzed, were randomly divided into 56 experimental group and control group of 46 people, the experimental group byThe Piga pressure hollow screw fixation in the control group to take the traditional open reduction and internal fixation. Using X-ray film assessment of fracture healing rate, the record time of fracture healing, Foot and Ankle Orthopaedic Society （AOFAS） ankle scoring system evaluation of ankle function. Simultaneous recording of surgical time and blood loss. Results Group of experimental fracture healing time was 7 to 13 weeks, according to the AOFAS scoring system score, an average of 96 points （75 to 100 points）, the effective rate of 96.5%, operation time and amount of bleeding than the control group, the difference was statistically significant （P 〈0.05）. Conclusion By the the Piga pressure cannulated screw fixation than conventional open reduction and internal fixation with fracture healing time, postoperative ankle function recovered well, the obvious superiority of surgical time and bleeding volume, suitable for the clinical treatment of ankle fractures moresuperior technique.
出处
《当代医学》
2013年第5期96-97,共2页
Contemporary Medicine
关键词
经皮空心螺钉
踝关节
骨折
By Piga pressure hollow screw
Ankle
Fractures
