切开复位内固定后下胫腓联合分离固定治疗踝关节骨折的临床效果分析

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Abstract ObjectiveTo investigate the clinical effect of open reduction and internal fixation of lower tibiofibula plus separation and fixation in the treatment of ankle fracture.MethodsAltogether 94 patients with ankle fracture who were treated in our hospital from February 2015 to August 2016 were selected as the object of this research and randomly divided into control group(without fixed screws)and observation group(with fixed screws),47 cases in each group.The clinical efficacy,tibiofibular clear space(TBCS)and tibiofibular overlap(TBOL)at different post-operative periods,postoperative TBCS,TBOL,ankle function score and patients′satisfaction were compared between the two groups.ResultsThe total effective rate of observation group was 93.62%versus 68.08%in the control group,with statistically significant difference between two groups(χ2=9.8947,P<0.05);X-ray examination showed that the TBCS and TBOL of two groups at post-operative 1 and 12 months were significantly improved in comparison with those before operation，without statistically significant difference (P＞0.05);TBOL at different post-operative periods had statistically significant difference between two groups(P<0.05);TBCS at post-operative 1 month had no statistically significant difference between two groups(P＞0.05);TBCS at post-operative 12 months were significant difference between two groups(P<0.05).The post-operative TBCS,TBOL and ankle function scores of observation group were(3.49±0.23)mm,(8.55±0.18)mm and(89.7±6.7)points versus(3.62±0.39)mm,(8.15±0.23)mm and(80.3±4.9)points in the control group,with statistically significant difference between two groups （P<0.05）.The patients′satisfaction rate of the observation group was 97.87%,significantly higher than that of the control group(82.98%),with statistically significant difference between the two groups(P<0.05).ConclusionOpen reduction and internal fixation of lower tibiofibula plus separation and fixation in the treatment of ankle fracture is beneficial to the reduction of articular surface,better treatment of cartilage and ligament injury,and improves the effect of clinical operations,which is worthy of clinical application.

Key words： Reduction and internal fixation Lower tibiofibula Separation and fixation Ankle fracture Clinical effects

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	ZHANG Ze
	JIN Yun-long

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ZHANG Ze,JIN Yun-long. Analysis of clinical effect of open reduction and internal fixation of lower tibiofibula plus separation and fixation in the treatment of ankle fracture[J]. 中国当代医药, 2018, 25(5): 35-37.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I5/35

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