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支撑钢板与传统内固定治疗踝关节骨折的临床观察及其对生活质量综合评定问卷-74评分和贝尔德-杰克逊评分的影响

Clinical observation on the treatment of ankle fracture with buttress plate and traditional internal fixation and its effect on GQOLI-74 score and Baird-Jackson score.

作者信息

Lin Zhen, Gao Lian-Yun, Ruan Kang-Ming, Guo Deng-Bing, Chen Yan-Hua, Liu Qing-Ping

机构信息

Zhen Lin, Department of Trauma, Pediatric Orthopaedics, Mindong Hospital Affiliated to Fujian Medical University, Fu'an 355000, Fujian, China.

Lian-yun Gao, Department of Trauma, Pediatric Orthopaedics, Mindong Hospital Affiliated to Fujian Medical University, Fu'an 355000, Fujian, China.

出版信息

Pak J Med Sci. 2023 Mar-Apr;39(2):529-533. doi: 10.12669/pjms.39.2.6876.

Abstract

OBJECTIVE

To explore the curative effect of buttress plate and traditional internal fixation in the treatment of ankle fracture, so as to provide potential reference for the clinical treatment of this disease.

METHODS

This is a clinical comparative study. The subjects of this study were one hundred patients with ankle fracture treated in Mindong Hospital Affiliated to Fujian Medical University from January 2019 to December 2021. Enrolled patients were randomly divided into the control group and the experimental group. Patients in the control group were treated with traditional internal fixation, and those in the experimental group were provided with buttress plate. Patients were compared in several aspects such as the comprehensive quality of life assessment questionnaire (GQOLI-74), Baird-Jackson score and postoperative complications.

RESULT

The experimental group showed improved Baird-Jackson score after treatment, significantly higher fracture healing rate than that of the control group three months after treatment. Besides, there was no significant difference in the complications between the two groups, with good prognosis after timely treatment.

CONCLUSION

Internal fixation with buttress plate has obvious advantages in the treatment of ankle fractures, which can effectively improve the quality of life and promote the rapid healing of fractures. It is worthy of clinical promotion and application.

摘要

目的

探讨支撑钢板与传统内固定治疗踝关节骨折的疗效,为该病的临床治疗提供潜在参考。

方法

这是一项临床对照研究。本研究的对象为2019年1月至2021年12月在福建医科大学附属闽东医院接受治疗的100例踝关节骨折患者。将入选患者随机分为对照组和试验组。对照组采用传统内固定治疗,试验组采用支撑钢板治疗。对患者进行综合生活质量评定问卷(GQOLI-74)、Baird-Jackson评分及术后并发症等多方面比较。

结果

试验组治疗后Baird-Jackson评分提高,治疗后3个月骨折愈合率明显高于对照组。此外,两组并发症无明显差异,及时治疗后预后良好。

结论

支撑钢板内固定治疗踝关节骨折具有明显优势,可有效提高生活质量,促进骨折快速愈合。值得临床推广应用。

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