Comparison of the effect of operation and manipulation reduction on ankle fracture
10.3760/cma.j.issn.1008-6706.2019.19.004
- VernacularTitle: 手术与手法复位治疗踝关节骨折的效果比较
- Author:
Biwen ZHANG
1
Author Information
1. Department of Orthopedics, the People's Hospital of Xianju County, Zhejiang 317300, China
- Publication Type:Journal Article
- Keywords:
Intra-articular fractures;
Ankle joint;
Reconstructive surgical procedures;
Fracture fixation;
Manipulation, orthopedic;
Length of stay;
Postoperative complications;
Comparative study
- From:
Chinese Journal of Primary Medicine and Pharmacy
2019;26(19):2319-2322
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical effect of operation and manual reduction in the treatment of ankle fracture and provide guidance for clinical practice.
Methods:From March 2015 to March 2018, 88 cases of ankle fracture who admitted and treated in the People's Hospital of Xianju County were selected as the observation objects.Forty-eight patients in the operation group were treated with surgery.Forty cases in the manipulation group were treated by manipulation reduction.The two groups were followed up for half a year, and the rate of excellent and good reduction, hospitalization time, hospitalization cost, fracture healing time, excellent and good recovery rate of ankle joint function, ankle joint function score and incidence of complications were compared between the two groups.
Results:The positive and negative rate of reduction in the operation group was 93.75%(45/48), which was higher than 75.00%(30/40) in the manipulation group(χ2=6.092, P<0.05). The length and cost of hospitalization in the operation group were (17.56±3.12)d, (14 265.56±1 543.78)CNY, respectively, which in the manipulation group were (6.42±2.25)d, (2 565.56±487.69)CNY, respectively.There were statistically significant differences between the two groups(t=18.856, 46.019, all P<0.05). The healing time of fracture in the operation group was (9.12±1.25)weeks, which was shorter than that in the manipulation group[(11.56±2.36)weeks](t=6.200, P<0.05). There was no statistically significant difference in ankle function score between the two groups(P>0.05). The excellent and good rate of ankle function recovery in the operation group was 95.83%(46/48), which in the manipulation group was 92.50%(37/40), there was no statistically significant difference(P>0.05). The incidence rate of complications in the operation group was 14.58%(7/48), which was higher than that in the manipulation group [2.50%(1/40)](χ2=3.855, P<0.05).
Conclusion:The treatment of ankle fracture by operation and manual reduction has good results, both of which have advantages and disadvantages.The treatment cost of manual reduction is less than surgery, and the length of hospitalization is shorter than surgery.However, the fracture healing time is long, and a reasonable treatment plan can be developed in combination with the patients' condition and family economy.
