Baojianwenhui 疾病防治 改良踝关节后外侧入路结合内侧复位固定治 疗三踝骨折的有效性及安全性研究 文/李俊 【摘要】目的:探讨改良踝关节后外侧入路结合内侧复位固定治疗三踝骨折的有效性及安全性。方法:2016年4月至2020年4月, 选择本院收治的三踝骨折患者82例作为研究对象,随机分组,对照组行踝关节外侧联合内侧入路复位固定治疗,观察组行改良踝 关节后外侧入路结合内侧复位固定治疗,各41例,评价两组治疗效果、踝关节功能及并发症发生情况。结果:观察组治疗效果 %%,P<。术后6个月观察组踝关节功能评分显著高于对照组,P<。观察组并发症率 %%,P<。结论:三踝骨折采取改良踝关节后外侧入路结合内侧复位固定治疗方案可进一步保证治 疗效果,缩短下床活动及骨折愈合时间,促进踝关节功能恢复,且并发症少,值得推广。 【关键词】踝关节;后外侧入路;三踝骨折;并发症;踝关节功能 Study on the effectiveness and safety of modified posterolateral ankle approach combined with medial reduction and fixation in the treatment of three ankle fractures Li Jun Puding County People’s Hospital [Abstract]Objective:To explore the effectiveness and safety of the modified posterolateral ankle approach combined with medial reduction and fixation in the treatment of three ankle : From April 2016 to April 2020, 82 patients with three ankle fractures admitted to our hospital were selected as the research objects and randomly divided into groups.