中南医学科学杂志2025，Vol.53Issue(2)：280-283,4.DOI:10.15972/j.cnki.43-1509/r.2025.02.021
经腓骨后外侧入路内固定术对旋后外旋型踝关节骨折患者骨折愈合和踝关节功能的影响
Influences of posterolateral fibular approach internal fixation on fracture healing and ankle joint function in patients with supination-external rotation ankle fractures
摘要
Abstract
Aim To explore the influences of posterolateral fibular approach internal fixation on fracture healing and ankle joint function in patients with supination-external rotation ankle fractures.Methods A total of 164 patients with supination-exter-nal rotation ankle fractures in the hospital were selected and divided into a posterolateral approach group(79 cases)and a traditional approach group(85 cases).The posterolateral approach group underwent the posterolateral fibular approach internal fixation,while the traditional approach group underwent internal fixation via the fibular approach.The surgical and fracture healing conditions,post-operative complications,and ankle joint function[American orthopedic foot and ankle society(AOFAS),Olerud-Molander ankle score(OMAS)]and ankle joint mobility parameters before and 6 months after surgery were compared between the two groups.Results The posterolateral approach group had shorter hospitalization time,surgical time,and fracture healing time compared with the tradi-tional approach group(P＜0.05).The intraoperative bleeding volume was less than that of the traditional approach group(P＜0.05),and the incidence of postoperative complications was lower than that of the traditional approach group(P＜0.05).At 6 months after surgery,the AOFAS and OMAS scores in both groups were increased compared with the preoperative levels,and the pos-terolateral approach group was higher than the traditional approach group(P＜0.05);The ankle joint extension,flexion,pronation,and supination range of motion in the posterolateral approach group were all greater than those in the traditional approach group(P＜0.05).Conclusion Posterolateral fibular approach internal fixation can not only reduce surgical trauma and postoperative com-plications but also effectively promote fracture healing and the recovery of ankle joint function.关键词
经腓骨后外侧入路内固定术/旋后外旋型踝关节骨折/骨折愈合/踝关节功能Key words
posterolateral fibular approach internal fixation/supination-external rotation ankle fractures/fracture healing/ankle joint function分类
临床医学引用本文复制引用
古世伟..经腓骨后外侧入路内固定术对旋后外旋型踝关节骨折患者骨折愈合和踝关节功能的影响[J].中南医学科学杂志,2025,53(2):280-283,4.基金项目
四川省医学会骨科专项科研项目(2022SAT09) （2022SAT09）
