微创医学

【摘要】目的对内踝骨折微创术患者进行远期随访，探讨关节镜下内踝骨折内固定法的临床应用价值。方法关节镜下内固定法治疗内踝骨折61例，设为实验组；随访同期采用传统开放性术式58例患者，设为对照组。观察两组病例术后5年的疗效，均采用AOFAS和Mcgure踝关节评分及X线、MRI检查评定标准评价疗效，比较两组患者远期疗效的差异。结果实验组61例痊愈，AOFAS评分优良率为（88±3.6）%，Mcgure优良率达（91±4.7）%；对照组58例均痊愈，AOFAS评分优良率为（85±4.2）%，Mcgure优良率达（87±5.3）%。两组评分比较差异均有统计学意义（P＜0.05）。结论关节镜下内固定治疗内踝骨折创伤小，后遗症少，远期效果较传统切开法好，值得临床深入研究。

【Abstract】 ObjectiveTo evaluate the longterm effect of internal fixation under arthroscopy for malleolus fracture. Method61 cases of medial malleolus fracture in experimental group receving internal fixation under arthroscopy were compared with 58 patients in control group treated by traditional open surgery. AOFAS and Mcgure ankle scores evaluation criteria, Xray and MRI examination were used to evaluate the therapeutic effect 5 years of treatment. ResultIn Experimental Group, 61 caes were cured, the excellent rate of AOFAS score was (88±3.6)%, the excellent rate of Mcgure score was (91±4.7)%. In the control group, 58 patients were recovered, the excellent rate of AOFAS score was (85±4.2)%, the excellent rate of Mcgure score was (87±5.3)%. No difference was shown between groups (P＜0.05). ConclusionInternal fixation under arthroscopy in the treatment of medial malleolus fracture shows less invasiveness, less sequela, and better longterm effect compared with traditional slice method, worthy of clinical research.

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