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

DOI: 10.12201/bmr.202501.00083

•  

  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.

  Key words: [keywords missed]

  Submit time: 26 January 2025

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
• html

• 图表

• tanzhichao, lizheng, linfuchun, wuyunfei. Clinical efficacy observation of the four pillar concept in the treatment of Schatzker type I-IV tibial plateau fractures. 2024. doi: 10.12201/bmr.202411.00018

  TANG Yanghua. Observation on the effect of muscle energy technique in postoperative rehabilitation of ankle fracture. 2024. doi: 10.12201/bmr.202409.00014

  Wang Yeliu, Zhou Shuping. Clinical efficacy and safety of Esomeprazole combined with Biling Weitong granules in the treatment of EPS. 2025. doi: 10.12201/bmr.202501.00052

  WANG Hai-yun, DING Yi-shan, CHEN Chao-wei. Analysis of the clinical efficacy value of electroacupuncture and massage therapy in the treatment of knee osteoarthritis. 2024. doi: 10.12201/bmr.202412.00030

  fengqi, songcaiyuan, lilunxin. Efficacy and safety of Zhangs Qingre Xiaoyu Decoction combined with VSD in the treatment of open tibia and fibula fracture wound infection. 2024. doi: 10.12201/bmr.202410.00023

  zhao wei. . 2025. doi: 10.12201/bmr.202501.00018

  Chen Xin Yan, Guo Fang, Li Wei, Chen Hai Tang. Efficacy of the single-port laparoscopic technique in the treatment of ovarian cysts. 2024. doi: 10.12201/bmr.202410.00071

  Li Yaping. Clinical Observation on the Treatment of Perimenopausal Insomnia of the Heart-kidney Disharmony Type by Regulating the Spirit and Nourishing the Heart Tang. 2024. doi: 10.12201/bmr.202408.00031

  ZHANG Yanjie, LIU Yan, 刘振. Clinical Observation of Jiawei Sanpian Decoction（加味散偏汤） in the Treatment of Liver Stagnation and Blood Stasis Type Tension Headache. 2024. doi: 10.12201/bmr.202412.00019

  YANG Qing. Clinical Observation of Qinggan Ningxin Zhidong Prescription in the Treatment of Attention Deficit Hyperactivity Disorder with Heart-Liver Fire Blazing Syndrome. 2024. doi: 10.12201/bmr.202412.00051

• ID	Submit time	Number	Download
  1	2024-11-15	bmr.202501.00083V1	Download

• Public  Anonymous  To author only Submit Comments