目的 探讨微型钢板内固定与螺钉内固定治疗后踝关节骨折的临床效果。方法 选择2015年1月—2017年6月治疗的80例后踝骨折患者,随机分为微型钢板组和拉力螺钉组,每组各40例。通过采用不同的内固定方法,比较两组患者的临床疗效、手术时间、骨折愈合时间,并随访1年,比较两组患者的Baird-Jackson 评分及不良反应。结果 拉力螺钉组患者的有效率为97.50%,虽然略高于微型钢板组患者的92.50%,但两组比较差异无统计学意义(P>0.05);拉力螺钉组患者的手术时间、骨折愈合时间明显少于微型钢板组患者(P<0.05),随访1年后,拉力螺钉组患者的Baird-Jackson 评分明显高于微型钢板组(P<0.05);两组患者均无明显不良反应发生。结论 拉力螺钉与微型钢板内固定均是治疗后踝骨折的有效方法,但是两种固定方法在手术效果及术后恢复方面存在差异,因此在制定后踝骨折的内固定方案时还需根据患者骨折情况进行科学选择。
Objective To compare the clinical effects of mini-plate internal fixation versus screw internal fixation on ankle fracture.Methods A total of 80 patients with posterior malleolus fracture treated in our hospital from January 2015 to June 2017 were randomly divided into two groups: mini-plate group and lag screw group, with 40 cases in each group.By using different internal fixation methods, the clinical efficacy, operation time, and fracture healing time of the two groups were compared, and the Baird-Jackson scores and adverse reactions of the two groups were compared after one-year follow-up.Results The effective rate of the group with lag screw fixation was 97.50%, which was higher than that of the group with mini-plate fixation (92.5%), but there was no significant difference between the two groups (P>0.05).The operation time and fracture healing time of the group with lag screw fixation were significantly less than those of the group with mini-plate fixation (P<0.05).After one year of follow-up, the Baird-Jackson score of the group with lag screw fixation was significantly higher than that of the group with mini-plate fixation(P<0.05).There were no obvious adverse reactions in both groups.Conclusion Both lag screw internal fixation and mini-plate internal fixation are effective in the treatment of posterior ankle fracture, but there are differences between the two methods in operation effect and recovery.Therefore, it is necessary to take into account of the fracture condition of patients when making internal fixation schemes for posterior ankle fracture.
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