中国现代手术学杂志2017，Vol.21Issue(4)：296-300,5.DOI:10.16260/j.cnki.1009-2188.2017.04.013
手法整复外固定术与切开复位内固定治疗B型踝关节骨折的早期临床效果比较
Comparison of Early Clinical Effects of Manipulation External Fixation and Internal Fixation for the Treatment of Type B Ankle Fractures
曹建刚 1张传开1
作者信息
- 1. 中国人民解放军第九七医院骨科,徐州 221000
- 折叠
摘要
Abstract
Objective To compare the early clinical effects of manipulation external fixation and internal fixation for the treatment of type B ankle fractures . Methods 68 patients with type B ankle fractures were se -lected from March 2014 to October 2015 in our hospital.According to the random number table , all the 68 ca-ses were randomly divided into the experimental group and the control group , with 34 for each.The control group received internal fixations , while the experimental group received manipulative external fixations . Re-sults There was no significant difference between the two groups in the excellent rates of the B 1 and B2 types of ankle fractures patients (P >0.05).But in the B3 ankle fractures, the excellent rate of the control group was 92.3%, which was significantly higher than 58.3% of the experimental group (P <0.05).There was no significant difference of swelling time(P >0.05), but hospital stay of the control group was longer (P <0.05). Fracture healing time and the AOFAS scores of B1 and B2 type ankle fractures had no difference (P >0.05).But in the B3 ankle fractures, the AOFAS score of the control group was better than that of the experimental group (P <0.05). Conclusions The manipulation external fixation and the internal fixation for the treatment of type B1 and B2 type of ankle fractures are both effective, but the internal fixation is more ef-fective in the treatment of type B3 ankle fractures and the postoperative the ankle joint function scores sig-nificantly benefited.关键词
骨折,闭合性/踝关节/骨折固定术,外/骨折固定术,内Key words
fractures/closed/ankle joint/fracture fixation/external/fracture fixation/internal分类
医药卫生引用本文复制引用
曹建刚,张传开..手法整复外固定术与切开复位内固定治疗B型踝关节骨折的早期临床效果比较[J].中国现代手术学杂志,2017,21(4):296-300,5.
