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| Effects of Absorbable Screw Internal Fixation versus Compression Cannulated Screw Internal Fixation in the Treatment of Ankle Fracture Patients |
| LI Zhiqiang1, CHEN Kunfeng1, DONG Hui2, WANG Hongqi1 |
1. Department of Emergency Trauma Surgery, First People's Hospital of Shangqiu City, Shangqiu Henan 476000; 2. Department of Lower-limb Orthopedics, Zhengzhou Orthopedic Hospital, Zhengzhou Henan 450052 |
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Abstract 【Objective】 To investigate the clinical effects of absorbable screw internal fixation and compression cannulated screw internal fixation for patients with ankle fractures.【Methods】 The clinical data of 76 patients with ankle fractures treated in the Department of Emergency Trauma Surgery of First People's Hospital of Shangqiu City from October 2017 to October 2023 were retrospectively analyzed. According to different surgical procedures, the patients were divided into the control group (treated with compression cannulated screw internal fixation) and the observation group (treated with absorbable screw internal fixation), with 38 cases in each group. Operation-related indicators, ankle function scores, pain scores, functional prognosis and complication rates were compared between the two groups.【Results】 The callus formation time (31.25±5.43)d and fracture healing time (105.84±10.39) d in the observation group were significantly shorter than those in the control group [(36.27±5.52) d, (118.51±10.54) d](all P<0.05). At 3 months after operation, the ankle function score of the observation group (73.51±4.38) was significantly higher than that of the control group (69.42±4.47); the pain score (3.57±0.55) was significantly lower than that of the control group (4.12±0.57), and the functional prognosis was better in the observation group (all P<0.05). There was no statistically significant difference in the total incidence of complications between the two groups (P>0.05).【Conclusion】 For patients with ankle fractures, absorbable screw internal fixation can promote fracture healing, relieve early postoperative pain and improve early functional prognosis, with comparable safety to compression cannulated screw internal fixation.
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Received: 24 March 2025
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