通讯作者: 何贤标, 981114210@qq.com

DOI：10.12201/bmr.202501.00083

Observation on the clinical efficacy of digital templating combined with limited incision in the treatment of ankle fractures

• 摘要：【】 目的 分析数字化模板联合有限切开复位固定治疗踝关节旋后外旋Ⅳ度骨折的的临床效果。方法 回顾性分析2020年1月至2023年6月浙江中医药大学附属金华中医院收治的73例踝关节旋后外旋Ⅳ度骨折患者的临床资料。73例患者中男35例,女38例；年龄20～53(37.11±5.10)岁。按手术方法的不同分为两组,对照组32例,采用常规切开复位内固定术；观察组41例,应用数字化模板联合有限切开复位固定技术。对比两组围术期相关指标、踝关节功能、并发症发生情况等。 结果 观察组术后12个月时的恢复优良率92.68%优于较对照组的87.50%,但差异无统计学意义(P＞0.05)。观察组的手术操作时间、手术操作切口长度均小于对照组(P＜0.001),下床活动时间、住院时间短于对照组(P＜0.001),骨折愈合时间早于对照组,差异无统计学意义(P＞0.05)。观察组术后1、6个月Kofoed评分均高于对照组(均P＜0.05),而两组术后12个月时的Kofoed评分比较差异无统计学意义(P＞0.05)。观察组术后1、6个月时的踝关节背伸、跖屈角度均高于对照组(P＜0.05),而两组术后12个月时的运动度数比较差异均无统计学意义(均P＞0.05)。观察组术后12个月关节炎生活质量测量量表2-短卷(AIMS2-SF)评分高于对照组(P＜0.05)。两组术后并发症发生情况比较差异无统计学意义(P＞0.05)。结论 数字化模板联合有限切开复位固定治疗踝关节旋后外旋Ⅳ度骨折可在短期内促进踝关节功能恢复,改善其生活质量,值得临床应用。

   

  Abstract: 【】 Objective: To analyze the clinical effect of digital template combined with limited open reduction and fixation in the treatment of ankle fracture with degree IV supination and external rotation. Methods: From January 2020 to June 2020, the clinical data of 73 patients with 2023 fracture of ankle joint were analyzed retrospectively. All the patients were Zhejiang Chinese Medical University in Jinhua Chinese Hospital.There were 35 males and 38 females, aged from 20 to 53(37.11 ± 5.10) years.They were divided into two groups according to different operative methods: 32 cases in the control group were treated with conventional open reduction and internal fixation, and 41 cases in the observation group were treated with digital template combined with limited open reduction and internal fixation.The perioperative related indexes, ankle function and complications were compared between the two groups. Results: The excellent and good recovery rate of 92.68% in the observation group was better than that of 87.50% in the control group at 12 months after operation, but there was no significant difference (P > 0.05) .The time of operation and the length of incision in the observation group were shorter than those in the control group (p < 0.001) , the time of getting out of bed, the time of hospitalization in the observation group were shorter than those in the control group (p < 0.001) , the time of fracture healing was earlier than those in the control group, there was no significant difference (P > 0.05) .The Kofoed scores at 1 and 6 months after operation in the observation group were higher than those in the control group (all P < 0.05) , but there was no significant difference between the two groups at 12 months after operation (P > 0.05) .The angles of ankle dorsiflexion and plantar flexion in the observation group were higher than those in the control group at 1 and 6 months after operation (p < 0.05) , but there was no significant difference in the movement degrees between the two groups at 12 months after operation (P > 0.05) .The score of AIMS2-SF in the Observation Group was higher than that in the control group at 12 months (p < 0.05) .There was no significant difference in postoperative complications between the two groups (P > 0.05). Conclusion: The digital template combined with limited open reduction and fixation in the treatment of ankle fracture of degree IV supination and external rotation can promote the recovery of ankle function in a short time and improve the quality of life, which is worthy of clinical application.

  提交时间：2025-01-26

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• 序号	提交日期	编号	操作
  1	2024-11-15	bmr.202501.00083V1	下载

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