Clinical observation on the treatment of ankle fracture with buttress plate and traditional internal fixation and its effect on GQOLI-74 score and Baird-Jackson score

Objective

To explore the curative effect of buttress plate and traditional internal fixation in the treatment of ankle fracture, so as to provide potential reference for the clinical treatment of this disease.

Methods

This is a clinical comparative study. The subjects of this study were one hundred patients with ankle fracture treated in Mindong Hospital Affiliated to Fujian Medical University from January 2019 to December 2021. Enrolled patients were randomly divided into the control group and the experimental group. Patients in the control group were treated with traditional internal fixation, and those in the experimental group were provided with buttress plate. Patients were compared in several aspects such as the comprehensive quality of life assessment questionnaire (GQOLI-74), Baird-Jackson score and postoperative complications.

Result

The experimental group showed improved Baird-Jackson score after treatment, significantly higher fracture healing rate than that of the control group three months after treatment. Besides, there was no significant difference in the complications between the two groups, with good prognosis after timely treatment.

Conclusion

Internal fixation with buttress plate has obvious advantages in the treatment of ankle fractures, which can effectively improve the quality of life and promote the rapid healing of fractures. It is worthy of clinical promotion and application.

Minimally invasive plate internal fixation in limb fracture patients complicated with stress ulcer: Efficacy and impact on quality of life

AIM

To observe the clinical effect of minimally invasive bone plate fixation in patients with limb fracture complicated with stress ulcer and its effect on quality of life.

METHODS

Ninety limb fracture patients complicated with stress ulcer treated from August 2015 to December 2016 were selected and randomly divided into a control group (n = 45) and an observation group (n = 45). Both groups of patients were given aluminium magnesium carbonate plus lansoprazole for treatment of stress ulcer. The control group adopted traditional internal fixation, and the observation group was treated by minimally invasive plate internal fixation. Physical function, psychological function, social function and quality of life were assessed using the World Health Organization quality of life questionnaire. Clinical curative effect and quality of life were compared between the two groups.

RESULTS

Operative time and wound healing time were significantly shorter in the observation group than in the control group (P < 0.05). Blood loss and incision length of the observation group were significantly less than those of the control group (P < 0.05). The scores of physical function, psychological function, social function and quality of life were significantly better in the observation group than in the control group (P < 0.05). The incidence of postoperative complications was 4.44% in the observation group and 13.33% in the control group, and there was a significant between the two groups (P < 0.05).

CONCLUSION

Minimally invasive plate internal fixation combined with routine treatment has good efficacy and can improve quality of life in limb fracture patients complicated with stress ulcer.