Discussion on clinical efficacy and discussion of prone position after ankle lateral，posterolateral approach combined with medial joint approach for the treatment of trimalleolar fracture
ZHOU Yu-bin
Department of Second Orthopaedics，People′s Hospital of Xinyu City in Jiangxi Province，Xinyu 338000，China
Abstract：Objective To investigate the clinical efficacy of prone position after ankle lateral，posterolateral approach combined with medial joint approach for the treatment of trimalleolar fracture.Methods 52 cases of patients who were treated for trimalleolar fracture in hour hospital from June 2013 to June 2014 in our hospital were selected as the research object，.They were randomly divided into observation group and the control group.The observation group was used the prone position after ankle lateral，posterolateral approach combined with medial joint approach for treatment，the control group was used conventional fracture for treatment.The clinical curative effect was observed.Results For the obervation group，the mean operative time was（93.5±4.6）minutes，the average amount of bleeding was（85.5±10.3）ml，the average hospitalization time of postoperative was（11.2±1.1）days，the average healing time was（5.2±0.5）months.As for the control group，the average operation time was（103.5±8.7）minutes，the average amount of bleeding was（105.5± 8.6）ml，the averaged postoperative hospitalization time was （13.4±1.5）days，the average healing time was （5.9±0.8）months.In the observation group，the average operation time，average bleeding volume，postoperative hospitalization time，the average healing time were significantly lower than those in the control group，and there were significant differences （P＜0.05）.There were no fracture displacement，no implant loosening，no wound infection；while the patients of the control group patients were stageⅠhealing，2 cases of fracture displacement，2 cases in the locker，3 cases of wound infection and bone.According to Baird Jackson scoring system was used to evaluate the effect，the result showed that，observation group was excellent in 10 cases，good in 10 cases，6 cases，the excellent and good rate was 76.9%；the control group were excellent in 4 cases，good in 5 cases，17 cases，the overall excellent and good rate was 34.6%，the excellent rate of the obervation group was significantly better than that of the control group，and there was a significant difference （P＜0.05）. Conclusion The prone position behind the ankle lateral and medial combined approach internal fixation in the treatment of trimalleolar fracture，the treatment efficacy of it is remarkable，the method is simple and reliable，it is worthy of clinical popularization and application.
周瑜斌. 探讨内踝、外踝与后踝俯卧位联合入路治疗三踝骨折的临床研究[J]. 中国当代医药, 2016, 23(19): 96-98.
ZHOU Yu-bin. Discussion on clinical efficacy and discussion of prone position after ankle lateral，posterolateral approach combined with medial joint approach for the treatment of trimalleolar fracture. 中国当代医药, 2016, 23(19): 96-98.
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