本文已被：浏览 593次 下载 357次
投稿时间：2020-07-14 网络发布日期：2021-02-20
投稿时间：2020-07-14 网络发布日期：2021-02-20
中文摘要: 目的 比较防滑钢板和空心加压螺钉治疗Lauge-Hansen旋后外旋型Ⅲ、Ⅳ度、旋前外旋Ⅳ度合并有后踝Plion骨折的临床疗效。方法 将2016年11月至2020年1月收治的60例严重踝关节骨折合并有后踝Plion骨折患者,按照后踝骨折固定方法不同分为防滑钢板组和空心加压螺钉组,各30例,比较两组患者手术时间、骨折愈合时间、并发症发生率及踝关节功能恢复情况。结果 防滑钢板组的手术时间长于空心加压螺钉组,差异有统计学意义［(129.47±12.23）min vs （121.33±17.32）min,t=2.103,P<0.05)］;两组骨折愈合时间及踝关节功能评分比较差异均无统计学意义(P>0.05)。两组患者术后6个月并发症(足踝肿胀、张力性水泡、切口裂开)的发生率比较,差异无统计学意义(P>0.05)。结论 不论采用防滑钢板还是空心加压螺钉治疗Lauge-Hansen旋后外旋型Ⅲ、Ⅳ度、旋前外旋Ⅳ度的合并有的后踝Plion骨折均可达到理想的治疗效果,粉碎性且较大的后踝骨折块建议采用钢板固定效果更佳。
Abstract:Objective To compare the efficacy of antiskid steel plate and cannulated compression screw in the treatment of ankle fractures with posterior malleolus fragments of Lauge-Hansen supination external rotation type Ⅲ and type Ⅳ and pronation external rotation type Ⅳ.Methods Sixty patients with severe ankle fractures with posterior malleolus Plion fracture treated from November 2016 to January 2020 were selected and divided into anti-skid steel plate group and cannulated compression screw group according to different posterior malleolus fixation strategies ( n=30,each).The operation time,fracture healing time,complication rate and recovery of ankle joint function were compared between two groups.Results The operating time in anti-skid steel plate group was significantly longer than that in cannulated compression screw group［(129.47±12.23）min vs （121.33±17.32）min, t=2.103, P<0.05)］.There were no statistical differences in fracture healing time,ankle function score and postoperative complications (ankle swelling,tension blister,incision dehiscence) 6 months after surgery between two groups( P>0.05).Conclusion In the treatment of ankle fractures with posterior malleolus fracture of Lauge-Hansen supination external rotation type Ⅲ and type Ⅳ and pronation external rotation type Ⅳ,both anti-skid steel plate and cannulated compression screw can achieve the ideal treatment effect,and plate fixation is recommended for comminuted and large posterior malleolus fractures.
文章编号： 中图分类号：R687.3 文献标志码：B
基金项目:安徽省卫生和计划生育委员会科研计划项目(2016QK037)
| Author Name | Affiliation |
| DU Jun,WU Quan,HOU De-sheng,LU Cheng | The Third Division of Orthopaedics,the First People′s Hospital of Chuzhou,Chuzhou,Anhui 239000,China |
引用文本：
杜军, 吴泉, 侯德胜, 鲁成.防滑钢板和空心加压螺钉治疗后踝Plion骨折的疗效比较[J].中国临床研究,2021,34(2):213-216.
杜军, 吴泉, 侯德胜, 鲁成.防滑钢板和空心加压螺钉治疗后踝Plion骨折的疗效比较[J].中国临床研究,2021,34(2):213-216.