摘要
目的 观察外固定架联合有限内固定治疗复杂踝关节骨折的疗效.方法 65例复杂踝关节骨折患者按数字表法随机分为治疗组（33例）和对照组（32例）.治疗组患者进行外固定架联合有限内固定治疗,对照组患者单纯采用内固定进行治疗.随访5～20个月后,观察两组疗效和并发症发生率.结果 治疗组优良率为84.85%,明显高于对照组的62.50%,差异有统计学意义（χ^2=4.20,P〈0.05）.治疗组并发症发生率为3.03%,明显低于对照组的18.75%,差异有统计学意义（χ^2=4.18,P〈0.05）.结论 外固定架联合有限内固定能够有效地治疗复杂踝关节骨折,该方法不仅能使患者对复位效果感到满意,而且能够最大限度地避免内固定感染等并发症,该方法临床价值极高,值得广泛应用.
Objective To observe the effect of external fixator combined with limited internal fixation in the treatment of complex ankle fractures.Methods According to the digital table,65 patients with complex ankle fracture were randomly divided into treatment group（33 cases） and control group（32 cases）.The treatment group was treated with external fixator combined with limited internal fixation,the control group was treated with internal fixation.All patients were followed up for 5 to 20 months.The curative effect and incidence rate of complication of the two groups were observed.Results The excellent rate of the treatment group was 84.85%,which was higher than 62.50% of the control group,the difference was statistically significant（χ^2=4.20,P〈0.05）.The incidence rate of complications in the treatment group was 3.03%,which was lower than 18.75% of the control group,the difference was statistically significant（χ^2=4.18,P〈0.05）.Conclusion External fixator combined with limited internal fixation can effectively treat complex ankle fractures,the method can not only make patients satisfied with the reduction effect,but also the internal fixation complications such as infection are minimized,the clinical value is extremely high,it is worthy of wide application.
出处
《中国基层医药》
CAS
2017年第10期1532-1535,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
骨折
踝关节
骨折固定术
内
外固定器
Fractures
Bone
Ankle Joint
Fracture Fixation
Internal
External Fixators
