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闭合复位经皮空心螺钉内固定治疗旋后-外旋型踝关节骨折

陈喜顺 贾铭

临床误诊误治2017,Vol.30Issue(12):64-67,4.
临床误诊误治2017,Vol.30Issue(12):64-67,4.DOI:10.3969/j.issn.1002-3429.2017.12.026

闭合复位经皮空心螺钉内固定治疗旋后-外旋型踝关节骨折

Closed Reduction and Percutaneous Cannulated Screw Internal Fixation in Treatment of Patients with Supination Ex-ternal Rotation Ankle Fractures

陈喜顺 1贾铭2

作者信息

  • 1. 100054 北京,北京市健宫医院骨科
  • 2. 510405 广州,广州中医药大学第一附属医院骨科
  • 折叠

摘要

Abstract

Objective To investigate clinical effect of closed reduction and percutaneous cannulated screw internal fixation in treatment of patients with supination external rotation ankle fractures. Methods A total of 68 patients with supina-tion external rotation ankle fractures admitted during May 2013 and July 2016 were divided into observation group ( n=34 ) and control group (n=34). The control group was treated with traditional open reduction, while observation group was treated with closed reduction and percutaneous cannulated screw internal fixation. Operative time, intraoperative volume of blood loss, hospitalization time and fracture healing time were recorded, and occurrence of complications was observed, and clinical effects and function recovery of ankle joint were evaluated. Results The total effective rates were 97. 06% in observation group and 82. 35% in control group, and the excellent rates of ankle joint function were 97. 06% in observation group and 88. 24% in control group, and incidence rates of complications were 8. 82% in observation group and 29. 41% in control group, and the difference was statistically significant (P<0. 05). Compared with those in control group, values of operative time, intraoperative volume of blood loss, hospitalization time and fracture healing time in observation group were significantly lower (P<0. 05). Conclusion Closed reduction and percutaneous cannulated screw internal fixation in treatment of patients with supination external rotation ankle fractures can achieve good effect, little injury to the body and low incidence rate of com-plications.

关键词

踝关节骨折/闭合复位经皮空心螺钉内固定/疗效比较研究

Key words

Ankle fracture/Closed reduction and percutaneous cannulated screw internal fixation/Comparative ef-fectiveness research

分类

医药卫生

引用本文复制引用

陈喜顺,贾铭..闭合复位经皮空心螺钉内固定治疗旋后-外旋型踝关节骨折[J].临床误诊误治,2017,30(12):64-67,4.

基金项目

广东省科学技术厅科技计划项目(2014-807) (2014-807)

临床误诊误治

OACSTPCD

1002-3429

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