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杨伟强, 付炳金, 许维强, 崔程程, 于丰玮, 孙广超. Nice结辅助复位技术与传统复位技术在移位粉碎性外踝骨折中的应用[J]. 实用临床医药杂志, 2023, 27(21): 96-100. DOI: 10.7619/jcmp.20232263
引用本文: 杨伟强, 付炳金, 许维强, 崔程程, 于丰玮, 孙广超. Nice结辅助复位技术与传统复位技术在移位粉碎性外踝骨折中的应用[J]. 实用临床医药杂志, 2023, 27(21): 96-100. DOI: 10.7619/jcmp.20232263
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YANG Weiqiang, FU Bingjin, XU Weiqiang, CUI Chengcheng, YU Fengwei, SUN Guangchao. Application of Nice knot assisted reduction technique and traditional reduction technique in displaced comminuted lateral malleolar fractures[J]. Journal of Clinical Medicine in Practice, 2023, 27(21): 96-100. DOI: 10.7619/jcmp.20232263
Citation: YANG Weiqiang, FU Bingjin, XU Weiqiang, CUI Chengcheng, YU Fengwei, SUN Guangchao. Application of Nice knot assisted reduction technique and traditional reduction technique in displaced comminuted lateral malleolar fractures[J]. Journal of Clinical Medicine in Practice, 2023, 27(21): 96-100. DOI: 10.7619/jcmp.20232263
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Nice结辅助复位技术与传统复位技术在移位粉碎性外踝骨折中的应用

Application of Nice knot assisted reduction technique and traditional reduction technique in displaced comminuted lateral malleolar fractures

    摘要
  • 摘要:
    目的 比较Nice结辅助复位技术(Nice结固定)与传统复位技术(螺钉固定)在移位粉碎性外踝骨折中的疗效。
    方法 回顾性分析105例成人外踝粉碎性骨折(Danis-Weber分型C型)患者资料，根据不同治疗方式分为Nice结组(Nice结辅助复位技术, n=53)与传统组(传统复位技术, n=52)。记录并比较2组患者手术时间、术中失血量、骨折愈合时间、术后第2天视觉模拟评分法(VAS)评分、末次随访时踝关节美国足踝骨科学会(AOFAS)评分和术后并发症(内固定失效、感染、骨块移位和骨不连)。
    结果 105例患者均顺利完成手术，随访时间为6~15个月，平均(10.7±3.5)个月。Nice结组手术时间、骨折愈合时间短于传统组，术中出血量少于传统组，差异有统计学意义(P < 0.05); 2组术后第2天VAS评分和末次随访踝关节AOFAS评分比较，差异无统计学意义(P>0.05)。Nice结组无术后并发症发生，传统组发生3例骨折块移位。
    结论 Nice结辅助复位技术治疗移位粉碎性外踝骨折的效果优于传统螺钉复位技术，其操作简便，手术时间短，术中出血量少，术后效果较好。

     

    Abstract:
    Objective To compare the efficacy of Nice node assisted reduction technique (Nice node fixation) and traditional reduction technique (screw fixation) in displaced comminuted lateral malleolar fractures.
    Methods The data of 105 adult patients with comminuted lateral ankle fracture (C type of Danis-Weber type) were retrospectively analyzed.According to different treatment methods, they were divided into Nice node group (Nice node-assisted reduction technique, n=53) and traditional group(traditional reduction technique, n=52). Operative time, intraoperative blood loss, fracture healing time, Visual Analogue Scale (VAS) score on the second day after surgery, American Orthopedic Foot Andankle Society (AOFAS) score at last follow-up and postoperative complications (internal fixation failure, infection, bone mass displacement and bone nonunion) were recorded and compared between the two groups.
    Results All the 105 patients successfully completed the operation, and the follow-up time was 6 to 15 months, with an average of (10.7±3.5) months. The operative time, fracture healing time and intraoperative blood loss in Nice node group were significantly shorter or less than those in the traditional group (P < 0.05). There was no significant difference in VAS score and ankle AOFAS score at the last follow-up between the two groups (P>0.05). There were no postoperative complications in the Nice node group, and 3 cases of fracture mass displacement occurred in the traditional group.
    Conclusion The effect of Nice junction assisted reduction technique in the treatment of displaced lateral malleolar comminuted fracture is better than that of traditional screw reduction technique, which is simple to operate, short in operation time, and has less intraoperative blood loss and good postoperative effect.

     

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