|
|
Clinical Observation on Different Surgical Timings in the Treatment of Anklebone Fracture Disposition |
Yang Peng, Su Haitao |
Department of Orthopedics,The Second People's Hospital of Puyang County,Puyang 457002,China |
|
|
Abstract Objective To explore the clinical effects of different surgical timings in the treatment of anklebone fracture disposition.Methods Eighty patients with anklebone fracture disposition who were treated in the hospital were selected as the research subjects,and they were divided into early group and elective group according to the random number table method,with 40 cases in each group.Early group underwent emergency surgery,and elective group underwent elective surgery.The differences in surgery and recovery(operative time,hospital stay,fracture healing time) were compared between the two groups.The ankle function [Baird-Jackson Function Score Scale,American Orthopedic Foot and Ankle Society(AOFAS)] and pain level [Numerical Rating Scale(NRS)] were compared between the two groups before surgery and at 6 months after surgery.The incidence rates of complications within 1 year after surgery were compared between the two groups.Results The operative time,hospital stay and fracture healing time in early group were significantly lower than those in elective group(P<0.05).At 6 months after surgery,the ankle function in the two groups was significantly improved compared with that before surgery,and the score in early group was higher than that in elective group at the same time point(P<0.05).There was no significant difference in the pain level between the two groups(P>0.05).Within 1 year after surgery,there were no significant differences in the incidence rates of complications between the two groups(P>0.05).Conclusion Early surgery has shorter operative time than elective surgery,and it can promote the prognosis and recovery,and it has better effects on the ankle function recovery,and it is worthy of clinical promotion and application.
|
Received: 01 March 2020
|
|
|
|
|
[1] 姜矞恒,李莹,王岩.踝关节骨折畸形愈合的诊断与治疗研究进展[J].中华创伤骨科杂志,2017,19(3):268-271. [2] 张兰芳,吴思平.针刺联合超激光治疗急性踝关节扭伤31例临床观察[J].江苏中医药,2016,48(7):61-62. [3] 侯煜,王林杰,梁志兴,等.关节镜下内固定关节融合术对晚期踝关节炎患者的疗效及AOFAS和VAS评分的影响[J].中国内镜杂志,2017,23(12):60-65. [4] 黄洪斌,季向荣,林忠凯,等.脊神经后侧支脉冲射频治疗骨质疏松性椎体骨折疼痛疗效观察[J].浙江医学,2017,39(5):380-381. [5] 毛成鹏,汤志辉,欧阳国新,等.踝关节骨折合并脱位患者的手术时机分析[J].医学临床研究,2016,33(5):1010-1012. [6] 黄毓东,陈文红,王海燕.早期与择期手术治疗踝关节骨折的中晚期疗效对比[J].西南国防医药,2016,26(12):1468-1470. |
|
|
|