摘要
目的对比开放复位内固定治疗与手法复位治疗对踝关节骨折的临床效果。方法在河南省洛阳正骨医院治疗踝关节骨折患者中选取78例,并严格按照随机分配原则分为对照组39例和观察组39例。其中对照组采用手法复位治疗,观察组采用开放复位内固定治疗,观察对比两组患者的治疗效果及出现创伤性关节炎、感染、关节僵硬等并发症的情况。结果对照组和观察组的优良率分别为64.10%和92.31%,观察组的优良率高于对照组,且对照组并发症发生率为30.77%;观察组并发症发生率为7.68%,差异有统计学意义(P<0.05)。结论在临床治疗上,采用开放复位内固定治疗效果较之手法复位治疗显著,且能有效降低患者发生并发症概率,值得推广。
Objective To compare the clinical effect of open reduction and internal fixation with manual reduction for ankle fracture. Methods 78 patients with ankle fracture were selected and divided into control group(39 cases)and observation group(39 cases)according to the principle of random distribution. The control group were treated with manual reduction,and the observation group were treated with open reduction and internal fixation. The therapeutic effect and complications of traumatic arthritis,infection and joint stiffness were observed and compared between the two groups. Results The excellent and good rates of the control group and the observation group were 64.10% and 92.31%,respectively. The excellent and good rate of the observation group was higher than that of the control group,and that of the control group was higher than that of the control group. The incidence of complications was 30.77% in group A and 7.68% in group B(P<0.05). Conclusion In clinical treatment,open reduction and internal fixation is more effective than manual reduction,and can effectively reduce the probability of complications. So it is worth popularizing.
作者
穆世民
MU Shi-min(Luoyang Orthopedic-Traumatological Hospital of Henan Province(Henan Provincial Orthopaedic Hospital), Luoyang,Henan,473400,China)
出处
《黑龙江医学》
2019年第5期462-463,共2页
Heilongjiang Medical Journal
关键词
保守治疗
踝关节骨折
手法复位
Conservative treatment
Ankle fracture
Manual reduction
