Abstract: ?ObjectiveTo compare the early clinical effects of manipulation external fixation and internal fixation for the treatment of type B ankle fractures.Methods68 patients with type B ankle fractures were selected from March 2014 to October 2015 in our hospital. According to the random number table, all the 68 cases were randomly divided into the experimental group and the control group, with 34 for each. The control group received internal fixations, while the experimental group received manipulative external fixations.ResultsThere was no significant difference between the two groups in the excellent rates of the B1 and B2 types of ankle fractures patients (P>0.05). But in the B3 ankle fractures, the excellent rate of the control group was 92.3%, which was significantly higher than 58.3% of the experimental group (P<0.05). There was no significant difference of swelling time(P>0.05), but hospital stay of the control group was longer(P<0.05). Fracture healing time and the AOFAS scores of B1 and B2 type ankle fractures had no difference (P>0.05).But in the B3 ankle fractures, the AOFAS score of the control group was better than that of the experimental group (P<0.05).ConclusionsThe manipulation external fixation and the internal fixation for the treatment of type B1 and B2 type of ankle fractures are both effective, but the internal fixation is more effective in the treatment of type B3 ankle fractures and the postoperative the ankle joint function scores significantly benefited.
曹建刚，张传开. 手法整复外固定术与切开复位内固定治疗B型踝关节骨折的早期临床效果比较[J]. 中国现代手术学杂志, 2017, 21(4): 296-300.
CAO Jian-gang,ZHANG Chuan-kai. Comparison of Early Clinical Effects of Manipulation External Fixation and Internal Fixation for theTreatment of Type B Ankle Fractures. Chinese Journal of Modern Operative Surgery, 2017, 21(4): 296-300.
Leeds HC, Ehrlich MG. Instability of the distal tibiofibular syndesmosis after bimalleolar and trimalleolar ankle fractures[J]. J Bone Joint Surg Am，1984，66(4):490-503.
[5]
Kitaoka HB, Alexander IJ, Adelaar RS, et al. Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes[J]. Foot Ankle Int,1994,15(7):349-353.|
Hinds RM, Lazaro LE, Burket JC, et al. Risk factors for posttraumatic synostosis and outcomes following operative treatment of anklefractures[J]. Foot Ankle Int, 2014,35(2):141-147. doi: 10.1177/1071100713510913. 28.|
2017, Vol. 21 
