【摘要】 目的：分析兩种不同内固定材料治疗后踝关节骨折的临床效果。方法：抽取2013年1月-2019年1月在九江市第一人民医院骨科进行手术治疗的58例后踝关节骨折患者的临床资料进行回顾性分析，根据接受固定材料的不同进行分组，采用螺钉固定的患者纳入对照组（n=29），采用钢板固定的患者纳入观察组（n=29）。对比分析两组临床治疗效果、手术指标及不良事件。结果：观察组总有效率为96.55%，高于对照组的72.41%（P<0.05）。观察组手术时间为（79.67±11.45）min，显著长于对照组的（72.14±12.26）min（P<0.05）。两组术中出血量比较，差异无统计学意义（P>0.05）。观察组住院时间、愈合时间均短于对照组（P<0.05）。观察组不良事件发生率为3.45%，低于对照组的34.48%（P<0.05）。结论：钢板内固定治疗后踝关节骨折效果佳，可有效缩短患者的住院时间，安全性高且不会增加术中出血量，值得在临床中推广使用。

【关键词】 钢板 螺钉 后踝关节 骨折

Analysis of Effect of Two Different Internal Fixation Materials in the Treatment of Patients with Posterior Ankle Fractures /HE Jiacheng. //Medical Innovation of China， 2021， 18（34）： 0-063

[Abstract] Objective： To analyze the clinical effects of two different internal fixation materials in the treatment of patients with posterior ankle fractures. Method： The clinical data of 58 patients with posterior ankle fractures who underwent surgical treatment in the Department of Orthopedics of the First People’s Hospital of Jiujiang City from January 2013 to January 2019 were collected for retrospective analysis， and they were grouped according to the different fixation materials received， patients with internal nail fixation were included in the control group （n=29）， and those with steel plate fixation were included in the observation group （n=29）. The clinical treatment effects， surgical indicators and complications of the two groups of patients were compared and analyzed. Result： The total effective rate of the observation group was 96.55%， which was higher than 72.41% of the control group （P<0.05）. The operation time of the observation group was （79.67±11.45） min， which was significantly longer than （72.14±12.26） min of the control group （P<0.05）. There was no significant difference in intraoperative blood loss between two groups （P>0.05）. The hospitalization time and wound healing time of the observation group were shorter than those of the control group （P<0.05）. The incidence of adverse events of the observation group was 3.45%， which was lower than 34.48% of the control group （P<0.05）. Conclusion： Plate internal fixation for the treatment of posterior ankle fractures has a good therapeutic effect， it can effectively reduce the patient’s hospital stay and shorten the patient’s hospital stay， it’s safe and does not increase the amount of intraoperative blood loss.， it’s worthy of clinical application.

[Key words] Plate Screw Posterior ankle joint Fracture

First-author’s address： Jiujiang First People’s Hospital， Jiujiang 332000， China

doi：10.3969/j.issn.1674-4985.2021.34.014

踝关节骨折是骨外科中多见的骨折类型之一，患者通常表现为踝部疼痛、肿胀、变形等[1]。踝关节又称为距骨小腿关节，其主要是由小腿中的胫腓骨下段的关节面与距骨滑车组成，人们在日常的正常活动中，踝关节是最重要的负重关节之一，也是最容易出现扭伤的部位[2-3]。由于踝关节主要是韧带固定，缺少肌肉组织等保护，在受到外力的冲击下，极易发生骨折。如果没有得到及时妥善的处理，可引起关节移位、变形等，随着时间推移可发展成创伤性关节炎，严重影响患者的生活质量[4]。治疗后踝关节骨折现今主要以手术为主，通过手术切开患者的骨折部位进行复位，然后选用合适的材料、方法对其进行有效的固定[5]。……