Comparison of the effect of closed reduction and internal fixation with open reduction and internal fixation on the restoration of double ankle joint function and the degree of pain in patients with comminuted double malleolus fracture after operation / 中国基层医药

ABSTRACT

Objective To compare the effect of closed reduction internal fixation and open reduction and internal fixation on the recovery of double ankle joint function and the degree of pain in patients with comminuted double malleolus fracture after operation.Methods From June 2015 to March 2017,78 patients with comminuted malleolus fracture in the Department of Orthopedics from Changzhi People's Hospital Affiliated to Shanxi Medical University were randomly divided into two groups according to the digital table ,with 39 cases in each group.The control group was treated with open reduction and internal fixation ,and the study group was treated with closed reduction and internal fixation.The amount of bleeding ,operation time,time of hospitalization were compared between the two groups.Six months after operation,the ankle function and pain score were used to evaluate the clinical efficacy.Results All the operations of 78 patients were successfully performed.The operative blood loss,operative time and hospitalization time in the study group were significantly lower than those in the control group (t＝4.65,14.63,7.83,all P＜0.05).Six months after operation,the excellent and good rate of the double ankle function in the study group (97.44%) was significantly higher than that in the control group (74.36%)(χ2＝6.77,P＝0.01).The pain scores of the two groups were significantly lower than those before treatment (t＝24.84,33.81,all P＜0.01).Six months after treatment,the pain score in the study group[(1.74 ±0.55)points]was significantly lower than that of the control group [(2.78 ± 0.80)points] (t＝6.69,P＜0.01).Conclusion Closed reduction and internal fixation for the patients with commi-nuted malleolus fracture after the operation of the joint without reduction ,are beneficial to promote the recovery of the double ankle joint function and reduce the pain degree ,and have the advantages of small wound ,less bleeding in the operation,short operation time and short hospitalization time.The clinical application should be popularized.