Clinical Comparative Study of Percutaneous Anterior Screw Internal Fixation and Posterolateral Approach Screw Internal Fixation in the Treatment of Three Ankle Fractures
LI You-ping, SHU Jun-feng
Baoji Traditional Chinese Medicine Hospital, Baoji Shaanxi 724400
Abstract：【Objective】To compare the clinical effects of percutaneous anterior screw internal fixation and posterolateral approach screw internal fixation in the treatment of three ankle fractures. 【Methods】 A retrospective analysis of the clinical data of 92 patients with three ankle fractures admitted to our hospital from January 2017 to January 2020. According to the different treatment methods. Patients were divided into group A (45 cases) treated with percutaneous anterior screw internal fixation and group B (47 cases) treated with posterolateral screw internal fixation. The operation time, number of fluoroscopy, intraoperative blood loss, 1year postoperative ankle range of motion (ROM), imaging examination results, full weight bearing time, fracture healing time, and ankle-hindfoot function score at different moments evaluated by the American Association of Foot and Ankle Surgery (AOFAS) were compared between the two groups.. 【Results】There were no statistically significant differences between the two groups of patients in operation time, time to complete weight bearing, fracture healing time, AOFAS ankle-hindfoot function score, ankle dorsiflexion, plantar flexion, varus and valgus ROM at 1 year after surgery (P>0.05). Compared to the AOFAS score at 3 months after operation, the AOFAS ankle-hindfoot function scores increased in both groups at 6 months and 12 months after operation (P<0.05). The number of fluoroscopy in group A was more than that in group B (P<0.05), and the amount of intraoperative blood loss was lower than that in group B (P<0.05). The incidence of poor reduction/poor fixation in group A was higher than that in group B (P<0.05). One year after the operation, there was no loss of fracture reduction, loose internal fixation and narrow ankle joint space in both groups. 【Conclusion】Both percutaneous anterior screw internal fixation and posterolateral approach screw internal fixation can effectively treat three ankle fractures. The former has more fluoroscopy treatments than the latter and the intraoperative blood loss is lower than the latter, but the quality of internal fixation is superior to the latter.
李有平, 舒军峰. 经皮前方螺钉内固定及后外侧入路螺钉内固定治疗三踝骨折临床疗效比较[J]. 医学临床研究, 2021, 38(11): 1680-1682.
LI You-ping, SHU Jun-feng. Clinical Comparative Study of Percutaneous Anterior Screw Internal Fixation and Posterolateral Approach Screw Internal Fixation in the Treatment of Three Ankle Fractures. JOURNAL OF CLINICAL RESEARCH, 2021, 38(11): 1680-1682.
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2021, Vol. 38 
