Case control study on treatment of distal tibiofibula fractures with modified anterolateral or traditional approach
10.3969/j.issn.1003-0034.2014.06.002
- VernacularTitle:改良前外侧入路与传统术式入路治疗胫腓骨远端骨折的病例对照研究
- Author:
Jing LI
1
;
Lei CHEN
;
Kai ZHOU
;
Cong Chui LIN
Author Information
1. 温州医科大学附属第一医院骨科
- Keywords:
Tibia;
Fibula;
Fracture fixation,interal;
Surgical procedures,operative;
Case control studies
- From:
China Journal of Orthopaedics and Traumatology
2014;(6):448-452
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore therapeutic effects of modified anterolateral approach and traditional approach in treat-ing distal tibiofibula fractures. Methods:From September 2009 to December 2012,45 patients with distal tibiofibula fractures were performed reduction and interal fixation with modified anterolateral and traditional approaches. According to Ruedi-All-gower classification,12 cases were typeⅠ,26 cases were typeⅡ,7 cases were type Ⅲ. Among 45 patients,there were 16 males and 7 females with an average age of (36.3±7.2) years old (ranged from 23 to 47) years old in advanced group;while there were 14 males and 8 females with an average of (33.8±6.4) years old (ranged from 25 to 45) in tradtional group. Opera-tion time,blood loss,complications of incision were compared,and AOFAS scores were evaluated. Results:All patients were followed up from 6 to 36 months with an average of 21.7 months. In traditional group,operation time was(74.7±9.9) min,blood loss was(94.4±10.4) ml,and(73.7±10.0) min,(100.8±12.1) ml in advanced group,there was no significant meaning between two groups(P>0.05);complications of insicion of advanced group was better than that of traditional group (χ2=4.078,P<0.05);AOFAS score in advanced group(86.1±9.4) was better than that of traditional group,and had significant meaning(t=3.787,P<0.05). Conclusion:Modified anterolateral group,which has advantages of rapid recovery,less complications,is a good choice for closed distal tibiofibula fractures.
