摘要
Abstract
Objective:To observe the clinical curative effects of minimally invasive treatment of ankle fracture and discuss its security.Method:60 patients with ankle fractures who were treated in our hospital from February 2010 to February 2013,the patients were divided into group A and group B,all the patients were treated conventional ankle spiral CT examination before surger,and the posterior malleolar fracture displacement,fracture of ankle block size,the horizontal line and the cross section the main fracture were realized.In the operation process in the group A,the medial malleolus and lateral malleolus were reset and fixed firstly,according to the specific situation of CT examination before operation,the direction and position of needle were selected in the operation process,bare fracture after percutaneous cannulated screw were fixed.The patients of group B were improved after the malleolus incision,then the external ankle after incision in fixed and at the same time show naked.The patients were 6 months to 20 months of follow-up,were scored according to the AOFAS criteria.Result:Patients in the B group,excellent in 13 cases(43%),good in 6 cases(20%),fair in 6 cases (20%),poor in 5 cases(17%);In group A,excellent in 17 cases(57%),good in 10 cases(33%),fair in 2 cases(7%),poor in 1 case(3%), the excellent and good rate of group A was significantly higher than that in group B,the difference was statistically significant(P<0.05).The infection in patients with traumatic nerve of Group A was better than that of B group,there was statistically significant difference(P<0.05);the two groups of patients with traumatic arthritis and malunion were compared,there was no statistical significance(P>0.05);the patients of two groups had no nonunion of fracture and broken nails situation.Conclusion:Take the way of minimally invasive percutaneous hollow screw internal fixation,high safety,trauma is relatively small,but also can reduce the incidence of infection,does not affect its stability,is the way of operation treatment is safe,has clinical value.关键词
内固定/后踝骨折/经皮微创/骨折固定术Key words
Internal fixation/After ankle fracture/Fracture percutaneous/Fracture fixation
