摘要
目的分析空心螺钉内固定法治疗WeberB型踝关节骨折的疗效。方法择本院2016年2月～2018年2月接收的72例WeberB型踝关节骨折患者资料,按治疗方式分研究组(36例),对照组(36例);对照组为切开式内固定法治疗,研究组则是空心螺钉的内固定法治疗,比对两组手术指标及疗效。结果治疗后,出血量、手术耗时、住院时间及愈合时间分别为(20.03±2.21)ml、(41.10±3.39)min、(15.30±3.11)d和(5.45±1.19)周,这些指标水平研究组皆优于对照组,比较差异均具有统计学意义(P<0.05);疗效对照组是75.00%(27/36)低于研究组97.22%(35/36),比较差异具有统计学意义(P<0.05);踝关节僵硬、内固定出现断裂或松动等情况对照组比研究组多,并发症率研究组为2(5.56%)显著低于对照组的14(38.89%),比较差异具有统计学意义(P<0.05)。结论 WeberB型踝关节骨折应用空心螺钉的内固定法实施治疗,疗效显著,创伤小,并发症少。
Objective To analyze the effect of internal fixation with hollow screw on WeberB type ankle fracture. Methods 72 cases of WeberB type ankle fractures received in our hospital from February 2016 to February 2018 were divided into the study group （36 cases） and the control group （36 cases） according to the treatment method. The control group was treated by open internal fixation while the study group was treated by internal fixation with hollow screw. Results After treatment, the blood loss, operationtime, hospital stay and healing time were （20.03±2.21）ml,（41.10±3.39）min, （15.30±3.11）d and （5.45 ± 1.19）weeks, respectively, and the difference was statistically significant （P〈0.05）. The efficacy of the control group was 75.00% （27/36）, lower than that of the study group 97.22% （35/36）, and the difference was statistically significant （P〈0.05）. There were more cases of ankle stiffness, fracture or loosening of internal fixation in the control group than the study group, and the complication rate in the study group was 2 （5.56%）, significantly lower than that in the control group 14（38.89%）. The difference was statistically significant（P〈0.05）. Conclusion The treatment of WeberB type ankle fracture with internal fixation with hollow screw is effective, with little trauma and few complications.
作者
刘新波
Liu Xinbo(Department of Orthopedics,Fengxian People＇s Hospital,Xuzhou,Jiangsu,221700,China)
出处
《当代医学》
2018年第33期1-3,共3页
Contemporary Medicine
