Volume 29, Issue 3
DOI: 10.24205/03276716.2020.754
Comparison of Operative and Conservative Treatment of Supination-External Rotation Ankle Fracture
Abstract
Objective: To analyze the effects of surgical and conservative treatments in supination-external rotation ankle fracture (abbreviated as SERAF).
Method: Sixty-eight subjects with SERAF were divided into a reference group and an exploration group, with 34 cases in each. Conservative treatment was applied in the members of reference group with manual reduction and stone paste fixation, while open reduction and internal fixation were applied in those belonging to the exploratory group. The joint function recovery time and treatment effect between the two groups were carefully compared.
Result: The recovery time of joint function in the exploration group was 65.4 ± 12.1 weeks, which was shorter than the reference group (71.6 ± 11.9 weeks), suggesting a distinct difference (P < 0.05). Besides, the difference between both groups in the excellent rate of type II injury (χ2 = 1.233, P > 0.05) was not significant. In the exploration group, the excellent rates for type III injury (92.31%) and type IV injury (87.50%) were significantly higher than 57.14% and 33.33% in the reference group, respectively, (χ2 = 4.340, 5.130, P < 0.05).
Conclusion: The difference between surgical and conservative treatment in the curative effect of patients with type II SERAF was not significant, but the effect of surgical treatment was more definite on patients with type III and IV SERAFs.
Keywords
Surgical treatment, Conservative treatment, Supination-external rotation ankle fracture (SERAF), Curative effect.