摘要
目的以胫骨骨折合并踝关节损伤患者为研究对象,探讨为患者实施手术治疗的方法与治疗效果。方法此次研究对象为自2015年6月至2019年12月在我院接受诊疗的53例胫骨骨折合并踝关节损伤患者,术前所有患者均接受X线检查及胫骨长度测量,根据患者骨折类型、分级以及临床表现为其实施针对性手术治疗措施,观察患者术后恢复情况以及并发症发生情况。结果术后骨折愈合时间为(3.24±0.27)个月,恢复效果为优患者17例,占32.08%,良25例,占47.17%,可8例,占15.09%,差3例,占5.66%,恢复优良率为79.25%。术后踝关节退行性改变患者1例、踝关节骨化加快患者2例、骨髓炎1例,感染2例,术后并发症总发生率为11.32%。术后患者疼痛[(72.49±3.62)比(51.32±3.54)]、物质生活[(57.32±21.34)比(45.31±7.85)]、社会功能[(66.35±11.34)比(52.46±10.21)]、心理功能[(65.19±10.13)比(50.52±9.78)]、躯体功能[(72.34±10.25)比(52.12±8.67)]评分均显著高于术前,差异均有统计学意义(均P<0.05)。结论胫骨骨折合并踝关节损伤引发机制较为复杂且临床治疗难度较大,根据患者骨折分级以及临床表现为其提供科学的干预措施有助于减少术后相关并发症且能够促进其术后功能恢复。
Objective To study the methods and treatment effects of surgical treatment for patients with humeral fracture combined with ankle injury.Methods A total of 53 patients with tibiofibular fractures and ankle joint injuries who underwent surgery in our hospital from June 2015 to December 2019 were enrolled.All patients underwent X-ray examination and tibia length measurement according to the patient’s fracture.Type,grading,and clinical manifestations were targeted surgical treatments to observe postoperative recovery and complications.Results The postoperative fracture healing time was(3.24±0.27)months.The recovery effect was excellent in 17 cases,accounting for 32.08%,good in 25 cases,accounting for 47.17%,fair in 8 cases,accounting for 15.09%,and poor in3 cases,accounting for 5.66%,the recovery rate was 79.25%.There were 1 case of degenerative ankle joint degeneration,2 cases of ankle ossification accelerated,1 case of osteomyelitis,and 2 cases of infection.The total incidence of postoperative complications was 11.32%.Postoperative pain[(72.49±3.62)vs(51.32±3.54)],material life[(57.32±21.34)vs(45.31±7.85)],social function[(66.35±11.34)vs(52.46±10.21)],Psychological function[(65.19±10.13)ratio(50.52±9.78)],physical function[(72.34±10.25)ratio(52.12±8.67)]scores were significantly higher than preoperative,the difference was statistically significant(all P<0.05).Conclusion The mechanism of humeral fracture combined with ankle injury is complicated and difficult to treat.It is helpful to provide scientific interventions according to the fracture grade and clinical manifestation of patients,which can reduce postoperative complications and promote postoperative functional recovery.
作者
戚荣富
QI Rong-fu(Department of Orthopaedics,Nanjing Tongren Hospital,Southeast University Medical College,210010,China)
出处
《中国误诊学杂志》
CAS
2019年第6期269-271,共3页
Chinese Journal of Misdiagnostics
关键词
胫骨骨折
踝关节损伤
手术治疗方法
手术治疗效果
humeral fracture
ankle joint injury
surgical treatment
surgical treatment effect
