不同内固定材料治疗三踝骨折效果分析.docVIP

不同内固定材料治疗三踝骨折效果分析 　　[摘要] 目的 比较可吸收内固定材料及金属内固定材料治疗三踝骨折的临床效果。 方法 选择奉化市中医院骨科2003年2月～2009年1月治疗的三踝骨折124例，分为实验组及对照组。实验组68例采用可吸收螺钉内固定，对照组56例采用传统金属内固定材料内固定。采用Leeds评价标准对两组进行疗效评价；记录并比较两组患者手术时间，切口、骨折愈合时间，并发症发生情况及满意度情况。 结果 ①实验组手术时间平均为（101.7±10.0）min，对照组为（145.9±11.6）min，两组比较差异有统计学意义（P 0.05）。②实验组获得随访的67例患者中，优54例，良9例，中3例，差1例。对照组获得随访的54例患者中，优43例，良8例，中2例，差1例。两组优良率比较，差异无统计学意义（P 0.05）；两组并发症发生率差异无统计学意义（P 0.05）。实验组总满意率高于对照组，差异有统计学意义（P 0.05）。 结论 可吸收内固定材料治疗三踝骨折的临床疗效与传统金属内固定材料疗效相当，然而后者不需要再次手术取出内固定物，且副作用较少，是临床工作者的较好选择。 　　[关键词] 可吸收螺钉；内固定；踝关节骨折 　　[中图分类号] R687.3[文献标识码] A[文章编号] 1673-7210（2014）06（b）-0061-04 　　 　　Effect analysis of different internal fixation material in the treatment of trimalleolar fracture 　　ZHOU Yao WANG Jia ZHU Zhixiong 　　Department of Orthopaedics, Fenghua Traditional Chinese Medicine Hospital, Zhejiang Province, Fenghua 315500, China 　　[Abstract] Objective To compare the clinical efficacy of absorbable fixation materials and metal fixation materials in the treatment of trimalleolar fracture. Methods 124 patients of trimalleolar fracture in Fenghua Traditional Chinese Medicine Hospital from February 2003 to January 2009 were selected and divided into experiment group and control group. 68 cases in experiment group were treated with absorbable screw fixation, 56 cases in control group were treated with traditional metal fixation materials. Therapeutic efficiency in the two groups were evaluated by Leeds evaluation criterion; operation time, incision healing time, fracture healing time, complication occurrence and satisfaction situation between the two groups were recorded and compared. Results ①The operation time in experiment group were (101.7±10.0) min, the operation time in control group were (145.9±11.6) min, the difference was statistically significant (P 0.05). ②67 cases were followed up in experiment group, 54 cases with superior result, 9 cases with good result, 3 cases with medium result, 1 case with bad result were found in experiment group. 54 case