Department of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Medicine (Baltimore). 2024 Nov 1;103(44):e40385. doi: 10.1097/MD.0000000000040385.
This study will evaluate the therapeutic effect of pin distractor assisted reduction of fibular fracture on ankle fracture. A retrospective analysis was performed on 98 patients diagnosed as ankle fracture or pilon fracture. These patients were all combined with fibular fracture. Retrospective analysis included 48 patients in the experimental group (distractor assisted reduction) and 48 patients in the control group (without pin distractor). The statistical indexes include: the time spent in fracture reduction and fixation, the length of surgical incision, the operative blood loss of fracture operation, the incidence of incision skin necrosis, the incidence of fracture end splitting during reduction, the quality of fracture reduction, the time of fracture healing, infection rate, and The American Orthopedic Foot and Ankle Society score at the last follow-up. There were statistical differences between the 2 groups in the time spent in the reduction and fixation of fractures, the incidence of fracture end splitting during reduction, the quality of anatomical reduction of fractures, and the healing time of fractures. The experimental group was better than the control group. In addition, for patients with long spiral fracture, comminuted fracture, osteoporotic fracture and preoperative delay time for operation more than 2 weeks, the time spent in the reduction and fixation of fracture, the operative blood loss of fracture operation, the incidence of fracture end splitting during reduction, the quality of anatomical reduction of fracture, and the healing time of fracture in the experimental group are also better than those in the control group. The pin distractor assisted reduction of fibular fracture has the advantages of simple operation, less trauma, short operation time, less operative blood loss, and fewer complications. It is especially suitable for patients with long spiral fibular fracture, comminuted fracture, osteoporotic fracture, and long preoperative delay time in ankle fracture.
本研究旨在评估腓骨骨折复位器辅助复位治疗踝关节骨折的疗效。对诊断为踝关节骨折或 Pilon 骨折且合并腓骨骨折的 98 例患者进行回顾性分析。其中试验组（复位器辅助复位）48 例，对照组（未使用腓骨复位器）48 例。统计指标包括：骨折复位和固定时间、手术切口长度、骨折手术出血量、切口皮肤坏死发生率、复位过程中骨折端分离发生率、骨折复位质量、骨折愈合时间、感染率以及末次随访时的美国矫形足踝协会评分。2 组在骨折复位和固定时间、复位过程中骨折端分离发生率、骨折解剖复位质量、骨折愈合时间方面比较差异有统计学意义，试验组优于对照组。此外，对于螺旋形长骨骨折、粉碎性骨折、骨质疏松性骨折以及术前手术时间延迟超过 2 周的患者，试验组在骨折复位和固定时间、骨折手术出血量、复位过程中骨折端分离发生率、骨折解剖复位质量以及骨折愈合时间方面也优于对照组。腓骨骨折复位器辅助复位具有操作简单、创伤小、手术时间短、出血量少、并发症少等优点。尤其适用于螺旋形长腓骨骨折、粉碎性骨折、骨质疏松性骨折以及术前手术时间延迟的踝关节骨折患者。
