106例踝关节骨折手术与非手术治疗方法的比较

目的:通过对踝关节骨折不同治疗方法的分析比较,探讨其疗效最佳的治疗措施。方法:1988～1999年共治疗踝关节骨折106例,其中保守治疗(包括石膏固定牵引)50例,另56例进行手术治疗,即解剖重建和坚强内固定。根据每个患者各自的骨折形态,分手术钢板螺钉,拉力钉,克氏针外架固定。结果:手术治疗组的治疗优良率为98.3％,而保守治疗组为60％。术后并发症也有明显减少。结论:术前制定周密计划,应用钢板及拉力钉,以及解剖复位和坚强的内固定,是提高踝关节骨折疗效的有效措施。

Comparison of Effect of Operative and Nonoperative Treatment for 106 Patients with Ankle Fracture

Objective:To evaluate the curative effect of ankle fractures. Methods: 106 cases of ankle fractures were divided into two groups:group A(50 cases) and group B (56 cases) .Group A was treated conservatively (Plaster fixation or calcaneal traction), and group B was undergone surgery (anatomical reconstruction,stable fixation and bone graft) .For each case of this group a special steel plate was respectively produced referring to the configuration of fracture. Results: 98 % patients in group A obtained good or excellent results,and in group B 60% patients obtained those results. The variation between the two groups was significant. Conclusions : Preoperative careful design, utilization of special plates and anatomical reconstruction and stable fixation are effective measures to improve the clinical results of ankle fractures.