后踝骨折改良内侧手术入路治疗后踝关节骨折临床分析

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Abstract ObjectiveTo explore the clinical efficacy ofmodified medial incision approach in the treatment of posterior ankle fracture.M ethodsThe clinical data of 61 patients with posterior ankle fracture treated in our department from May to October in 2016 were analyzed retrospectively,the patients were divided into the modified medial approach group(n=30)and the posterolateral approach group(n=31)according to the surgical approach.The intraoperative condition and postoperative recovery of the two groupswere compared.ResultsThe operation time,postoperative weight-bearing time and fracture healing time of themodified medial approach group was shorter than that of the lateral approach group,and the amount of bleeding during operation of themodified medial approach group was less than that of the lateral approach group,with significant difference (P＜0.05).The incidence rate of complication of themodified medial approach group was 3.3%,and the incidence rate of complication of the posterolateral approach group was 6.5%,the difference between the two groups was not statistically significant(P＞0.05).The evaluation of ankle function in the two groups at 6months after operation showed that the excellent and good rate of joint function in themodified medial approach group was 90.00%,and that of the posterolateral approach group was 90.32%,and the difference between the two groupswas not statistically significant(P＞0.05).ConclusionModified medial approach had less invasive and quicker to recover in the treatment of posterior ankle fracture,and is a better operative approach.

Key words： Ankle fracture Modified medial approach Lateral surgical approach Joint function

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	LENG Shuang-zhi
	SUN Zhi-peng
	ZONGMin

Cite this article:

LENG Shuang-zhi,SUN Zhi-peng,ZONGMin. Clinical analysis ofmodified medial incision approach in the treatment of posterior ankle fracture[J]. 中国当代医药, 2017, 24(22): 75-77.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I22/75

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