张少峰+方祥仔+黎家妹+黄雪章+黎银英+梁素娟+钟惠梅

[摘要]目的 观察及评估切开复位内固定术治疗踝关节骨折的效果。方法 选取2014年6月～2016年6月在本院治疗的84例有移位的踝关节骨折患者作为研究对象，使用随机数字表法分为研究组和对照组，各42例。对照组采用传统石膏外固定术治疗，研究组采用切开复位内固定术进行治疗。比较两组治疗后的优良率、踝关节功能恢复情况以及并发症发生情况。结果 研究组的优良率为97.62%，显著高于对照组的83.33%，差异有统计学意义（P<0.05）。研究组的疼痛、踝关节稳定性、行走能力、跑步能力、工作能力、活动范围、放射学结果评分高于对照组，差异有统计学意义（P<0.05）。研究组的并发症发生率为4.76%，显著低于对照组的19.05%，差异有统计学意义（P<0.05）。结论 切开复位内固定术治疗踝关节骨折患者的效果更为可观，可有效改善患者的踝关节功能，值得临床推广应用。

[关键词]传统石膏外固定术；踝关节骨折；疗效；切开复位内固定术

[中图分类号] R683.42 [文献标识码] A [文章编号] 1674-4721（2017）04（a）-0084-03

Effect observation of open reduction and internal fixation in the treatment of ankle fracture

ZHANG Shao-feng FANG Xiang-zi LI Jia-mei HUANG Xue-zhang LI Yin-ying LIANG Su-juan ZHONG Hui-mei

Department of Surgery，Guancheng Hospital of Dongguan City in Guangdong Province，Dongguan 523000，China

[Abstract]Objective To observe and evaluate the effect of open reduction and internal fixation in the treatment of ankle fracture.Methods A total of 84 patients with displaced ankle fractures treated in our hospital from June 2014 to June 2016 were selected as observation objects.According to the random number table method，they were divided into the research group and the control group，42 cases in each group.In the control group，patients with ankle joint fractures were treated with traditional plaster for external fixation.In the research group，open reduction and internal fixation was applied.The excellent and good rate after therapy，ankle function recovery and the occurrence of complications were compared in the two groups.Results The excellent and good rate in the research group was 97.62%，which was higher than that in the control group （83.33%），with significant difference （P<0.05）.The scores of pain，ankle stability，walking ability，running ability，work ability，range of motion and radiological results in the research group was higher than that in the control group，with significant difference （P<0.05）.The incidence rate of complications in the research group was 4.76%，which was lower than that in the control group （19.05%），with significant difference （P<0.05）.Conclusion The effect of open reduction and internal fixation in the treatment of ankle fracture is remarkable，which can effectively improve the ankle function of the patients with ankle fractures and it is worthy of clinical promotion and application.

[Key words]Traditional plaster for external fixation；Ankle fracture；Curative effect；Open reduction and internal fixation

在臨床上，踝关节骨折属于一种骨科常见疾病[1]。踝关节骨折大多为关节内骨折，需进行精确的复位治疗。该骨折主要发病原因与脚踝部扭伤有关，患者踝部受间接高能量作用，导致剧烈疼痛、肿胀、内翻或外翻畸形，活动障碍，若治疗不及时，对患者的活动范围具有较大影响，甚至威胁到患者的生命安全[2]。本研究旨在探讨切开复位内固定术治疗踝关节骨折的临床效果，现报道如下。

1资料与方法

1.1一般资料

选取2014年6月～2016年6月在本院治疗的84例有移位的踝关节骨折患者作为研究对象，所有患者均符合踝关节骨折医学诊断标准。使用随机数字表法将入选患者分为研究组和对照组，每组42例。本研究已通过我院医学伦理委员会批准，所有患者均对本研究知情并自愿签署知情同意书。……