Observation of curative effect of external fixator combined with limited internal fixation in the treatment of complex ankle fractures
10.3760/cma.j.issn.1008-6706.2017.10.024
- VernacularTitle:外固定架联合有限内固定治疗复杂踝关节骨折的疗效观察
- Author:
Zhirong SHENG
;
Xiaoping ZHANG
- Keywords:
Fractures;
Bone;
Ankle Joint;
Fracture Fixation;
Internal;
External Fixators
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(10):1532-1535
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of external fixator combined with limited internal fixation in the treatment of complex ankle fractures.Methods According to the digital table,65 patients with complex ankle fracture were randomly divided into treatment group(33 cases) and control group(32 cases).The treatment group was treated with external fixator combined with limited internal fixation,the control group was treated with internal fixation.All patients were followed up for 5 to 20 months.The curative effect and incidence rate of complication of the two groups were observed.Results The excellent rate of the treatment group was 84.85%,which was higher than 62.50% of the control group,the difference was statistically significant(x2=4.20,P<0.05).The incidence rate of complications in the treatment group was 3.03%,which was lower than 18.75% of the control group,the difference was statistically significant(x2=4.18,P<0.05).Conclusion External fixator combined with limited internal fixation can effectively treat complex ankle fractures,the method can not only make patients satisfied with the reduction effect,but also the internal fixation complications such as infection are minimized,the clinical value is extremely high,it is worthy of wide application.
