Abstract:
Objective To investigate the effect of minimally invasive surgery with percutaneous screw internal fixation on patients with ankle fractures and the effect on the quality of life(QOL)scores.
Methods From January 2015 to October 2019, 120 patients with ankle fractures who were admitted to Yufu People's Hospital for treatment during this time period were selected. The envelope method was used to divide the patients into the control group and the study group, 60 cases each. All the patients in the group were treated with surgery. The control group was treated with traditional incision and reduction and internal fixation. The study group was treated with minimally invasive surgery with percutaneous screw internal fixation. The quality of life(QOL)scores, the clinical status of the two groups, the prognosis of the two groups of patients, and the ankle function recovery of the two groups were compared. Chi-square test and t test were applied for data analysis.
Results The quality of life scores of patients in the study group were higher than those in the control group in terms of social function, psychological function, emotional intelligence, cognitive function, physical function, overall health, pain and physiological function (t=16.332, 15.663, 17.452, 17.998, 18.552, 17.552, 19.695 and 20.998 respectively, all P <0.05); the operation time, fracture healing time and hospitalization time of patients in the study group were all higher than those in the control group Compared with the control group, the patients in the study group had less intraoperative bleeding (t=16.332, 17.928, 15.489, 18.032, respectively, all P <0.05); the total incidence of ankle joint pain in the study group was 8.3% after surgical incision infection, nonunion of fracture, exposure of internal fixation, and healing, compared with 28.3% in the control group, the incidence in the study group was lower (χ2=7.002, P<0.05). The patients in the study group had ankle joint pain.The excellent and good rate of postoperative joint function was higher than that of the control group(χ2=7.009, P<0.05).
Conclusion The use of percutaneous screw internal fixation for minimally invasive surgery in patients with ankle fractures can improve the ankle joint function, improve the QOL score of patients, promote fracture healing, reduce hospitalization time, and improve prognosis and clinical infection.
Key words:
Surgical procedures minimally invasive,
Bone screws,
Internal fixators,
Ankle fractures,
Quality of life,
Prognosis,
Recovery of function
Huaguo Wang, Zhongbing Zou, Weipeng Lin, Yongfeng Huang, Rongtong Ou, Guiquan Chen, Jin Ye. Short-term effects of minimally invasive surgery with percutaneous screw fixation on ankle fractures[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2020, 14(02): 154-158.