摘要
Abstract
Objective To investigate the application of different treatments in grade Ⅲ 、Ⅳ supinaiton-eversion ankle fractures. Methods According to different treatments,56 patients in our hospital were divided into the operative group,28 patients with open reduction and internal fixation,and the conservative group,28 patients with manual reduction and plaster immobilization. The Mazur score, Leed score and complications of the two groups were compared. Results Compared Mazur score of the two groups, the excellent and good rate of grade Ⅲ in the operative group is 93. 8% which is significantly higher than that in conservative group (77. 8% ) , the result has statistically significant difference(P < 0.05). There was no significantly difference in excellent and good rate of grade Ⅳ between operative group and conservative group ( P > 0. 05 ). Compared Leed score of the two groups, the excellent and good rate of grade Ⅲ in the operative group is 93. 8% which is higher than that in conservative group(83. 3% ) , the result has no significant difference(P > 0. 05). There was no significant difference in excellent and good rate of grade Ⅳ between operative group(83. 3% ) and conservative group(70% ) (P >0.05). The hospital stays of operative group was significantly more than those of conservative group,there was no statistically significant difference(P <0. 05). Both of the two groups supervened with traumatic arthritis, and the difference was not significant. Conclusion Both operative and conservative treatment have curative effect in grade Ⅲ 、Ⅳ supinaiton-eversion ankle fractures, and operative treatment is more effective for Ⅲ supinaiton-eversion ankle fractures, while conservative treatment with fewer hospital stays and safer.关键词
踝关节骨折/手术/保守治疗/内固定/手法复位Key words
ankle fracture/ operation conservative treatment/ internal fixation/ manual reduction分类
医药卫生
