空心钉与钢板内固定对大块后踝骨折术后近远期功能恢复比较分析

发布时间：2018-04-15 22:10

本文选题：后踝 + 空心拉力螺钉　；参考：《山东中医药大学》2015年硕士论文

【摘要】：目的探讨空心拉力螺钉(Hollow Tension Screw)、锁定钢板(Locking Plate)治疗后踝骨折的近远期功能恢复情况。方法本研究病例皆为自2013.1~2014.1期间山东中医药大学附属医院山东省中医院创伤骨科病房收治的44例后踝骨折手术病人。按内固定方式的不同分为两组:空心拉力螺钉内固定组21例,锁定钢板内固定组23例,随访术后1个月~半年。通过对两组不同手术方式患者的手术时间、术中出血量、骨折临床愈合时间、术后功能恢复情况进行对比分析,经统计学处理得出最后结果。结果两组不同手术方式手术时间无显著性差异(p0.05),手术过程中平均出血量有显著性差异(p0.05),骨折临床愈合时间有显著性差异(p0.05)。两者近期功能恢复情况有显著性差异(p0.05),锁定钢板组近期功能恢复情况较空心拉力螺钉好,两者远期功能恢复情况无显著性差异(p0.05)。说明两种手术方式相比,手术时间和远期功能恢复情况差别不大,空心拉力螺钉组较锁定钢板组出血量少、骨折临床愈合时间快,锁定钢板组较空心拉力螺钉组术后近期功能恢复情况好。结论两者近期功能恢复情况有显著区别;其中,锁定钢板内固定术后近期功能恢复情况较空心拉力螺钉内固定好,两种固定方式远期功能恢复情况无显著差异,两者均是治疗后踝骨折常用手术方式并且术后效果也是较为令人满意的内固定方式,具有固定牢固、操作简易和成功率高等优势。权衡各方面利弊与综合考虑后,笔者认为锁定钢板内固定较空心拉力螺钉内固定好。
[Abstract]:Objective to investigate the short and long term functional recovery of ankle fracture treated with Hollow Tension screwscrew and locking plate.Methods 44 cases of posterior ankle fracture were treated in the Department of Trauma and Orthopaedics, Shandong Provincial Hospital of traditional Chinese Medicine, Shandong University of traditional Chinese Medicine, from March 1 to January 2014.1.They were divided into two groups according to the different internal fixation methods: the internal fixation group (21 cases) and the locking plate group (23 cases). The patients were followed up for 1 month to 6 months after operation.The operation time, intraoperative bleeding amount, fracture healing time and postoperative functional recovery were compared and analyzed between the two groups, and the final results were obtained by statistical analysis.Results there was no significant difference in the operative time between the two groups in different operation methods (p0.05). There was a significant difference in the average amount of blood loss during the operation and the time of fracture healing (p0.05).There was a significant difference in the short-term functional recovery between the two groups (p0.05). The short-term functional recovery of the locking plate group was better than that of the hollow lag screw. There was no significant difference in the long-term functional recovery between the two groups.The results showed that there was no significant difference in the time of operation and the recovery of long-term function between the two types of operation. The bleeding volume of the hollow screw group was less than that of the locking plate group, and the healing time of the fracture was faster than that of the locking plate group.The short-term functional recovery of locking plate group was better than that of hollow lag screw group.Conclusion there is a significant difference in short-term functional recovery between the two groups, among which, the short-term functional recovery after locking plate fixation is better than that with hollow lag screw fixation, but there is no significant difference between the two fixation methods in long-term functional recovery.Both of them are common surgical methods for the treatment of ankle fracture and the postoperative effect is also satisfactory. They have the advantages of firm fixation, simple operation and high success rate.After weighing the advantages and disadvantages, the author thinks that locking plate fixation is better than hollow screw fixation.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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