前言目的比较闭合复位经皮内固定和手术切开内固定治疗踝部骨折的疗效。方法110例踝部骨折患者随机分成两组,每组55例。经皮组:在C臂X线机透视下,采用闭合手法复位,经皮穿入导针、贯入空心螺钉,分别对外踝、后踝、内踝和下胫腓联合分离进行内固定。手术组:切开复位内固定。结果110例随访3~17个月,根据Baird-Jackson评分系统,经皮组优良率92.7%,手术组优良率80%。结论经皮微创内固定治疗踝部骨折具有创伤小、痛苦轻、操作简单、治疗时间短、并发症少、医疗费用低、功能恢复快等优点。
ObjectiveTocomparetheeffectofminimallyinvasivesurgeryandopensurgeryformalleolarfracture.Methods110caseswithmalleolarfracturesweredividedinto2groups.GroupMIS（minimallyinvasivesurgery）wereundergoneclosedreductionandpercutaneouscannulatedscrewfixation.GroupORIF（openreductionandinternalfixation）wereundergoneopenreductionandinternalfixation.Results110caseswerefollowedupfor3~17months.AccordingtoBaird-Jacksonsystem,theexcellentandgoodratewas92.7%in...
