手术疗法在旋后外旋型Ⅲ、Ⅳ度踝关节骨折中的应用价值

李建斌1，王鹏1 ，马鸣锋1，郭鹏2

(1.陕西省洛川县医院骨科，陕西 延安，727400；2.延安市人民医院骨科，陕西 延安，716000）

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摘要：

目的 研究手术疗法对旋后外旋型Ⅲ、Ⅳ度踝关节骨折的应用价值。方法 选取2014年2月至2016年1月于我院接受治疗的旋后外旋型Ⅲ、Ⅳ度踝关节骨折患者90例，以随机数字表法将其分为观察组及对照组，各45例。对照组患者行保守治疗，观察组患者则行手术治疗，对比两组患者的治疗效果。结果 观察组Ⅲ、Ⅳ度患者的Mazur评分均显著高于对照组（P<0.05）；观察组患者的治疗优良率为93.33%（42/45），显著高于对照组的77.78%（35/45）（P<0.05）；观察组患者并发症总发生率和住院时间均显著低于对照组（P<0.05）。结论 手术疗法对旋后外旋型Ⅲ、Ⅳ度踝关节骨折的应用价值较高，能降低并发症发生率，并促进患者早日康复。

关键词：手术疗法；旋后外旋型踝关节骨折；功能恢复

中图分类号：R687.3文献标志码：A文章编号：2096-1413(2017)14-0067-02

Application value of surgical therapy in grade Ⅲ-Ⅳ supinaiton-eversion ankle fractures
LI Jian-bin 1, WANG Peng 1, MA Ming-feng 1, GUO Peng 2
(1. Department of Orthopedics, Luochuan County Hospital, Yan`an 727400; 2. Department of Orthopedics, Yan`an People`s Hospital, Yan`an 716000, China)

ABSTRACT: Objective To study the application value of surgical therapy in grade Ⅲ-Ⅳ supinaiton-eversion ankle fractures. Methods Ninety cases of patients with grade Ⅲ-Ⅳ supinaiton -eversion ankle fractures admitted in our hospital from February 2014 to January 2016 were selected, which were divided into observation group and control group according to the digital method, with 45 cases in each group. The control group was treated with conservative treatment, while the observation group received surgical treatment, the curative effect of the two groups were compared. Results The Mazur scores of Ⅲ-Ⅳ degree patients in the observation group were significantly higher than those in the control group (P<0.05). The excellent and good rates of the observation group was 93.33% (42/45), which was significantly higher than 77.78% of the control group (35/45) (P<0.05). The total incidence rate of complications and hospital stays of the observation group were significantly lower than those of the control group (P<0.05). Conclusion Surgery therapy applied in grade Ⅲ-Ⅳ supinaiton-eversion ankle fractures has high clinical value, which can reduce the incidence of complications, promote the patient to recover soon.

KEYWORDS: surgery therapy; supinaiton-eversion ankle fractures; functional recovery

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