局解手术学杂志2025，Vol.34Issue(5)：413-416,4.DOI:10.11659/jjssx.05E024146
改良后外侧入路与传统后外侧入路内固定治疗三踝骨折的疗效对比
Comparison of clinical outcomes between modified posterolateral approach and traditional posterolateral approach internal fixation in treatment of trimalleolar fracture
摘要
Abstract
Objective To compare the clinical outcomes of modified posterolateral approach and traditional posterolateral approach combined with open reduction and internal fixation via medial approach in treatment of trimalleolar fracture.Methods Sixty-two patients with trimalleolar fractures who underwent modified posterolateral approach combined with open reduction and internal fixation via medial approach from January 2019 to June 2022 in orthopedics department of our hospital were enrolled in the modified approach group,and 62 patients who underwent traditional posterolateral approach combined with open reduction and internal fixation via medial approach at the same period were matched as the traditional approach group.The perioperative indicators were collected.The range of ankle motion 12 months after surgery was measured.The Maryland score,American Orthopaedic Foot and Ankle Society(AOFAS)score and Baird-Jackson score were employed to evaluate the recovery of patients 12 months after surgery,and the occurence of complications was recorded.Results There was no significant difference in the operation time,intraoperative blood loss,incision length,postoperative drainage volume or pain score between the two groups(P<0.05).The Maryland scores,AOFAS scores and Baird-Jackson scores 12 months after surgery of the two groups were higher than those before operation(P<0.05),while there was no significant difference between the two groups(P<0.05).The range of ankle motion in the modified approach group was better than that in the traditional approach group,and the incidence of nerve injury after surgery was lower than that in the traditional approach group,with statistically significant differences(P<0.05).Conclusions The modified posterolateral approach combined with open reduction and internal fixation via medial approach in treatment of trimalleolar fracture can achieve good early clinical outcome,effectively improve range of ankle motion,and reduce postoperative nerve injury.关键词
改良后外侧入路/传统入路/三踝骨折/切开复位内固定/临床疗效Key words
modified posterolateral approach/traditional approach/trimalleolar fracture/open reduction and internal fixation/clinical outcomes分类
临床医学引用本文复制引用
黄朝明,夏绍祥,裴儒,张杰,何仁豪..改良后外侧入路与传统后外侧入路内固定治疗三踝骨折的疗效对比[J].局解手术学杂志,2025,34(5):413-416,4.基金项目
宿迁市科技计划项目(K202146) （K202146）
