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| Effect of Modified Anterolateral Approach Combined with Modified Posteromedial Approach on Stability and Functional Recovery of Ankle Joint in the Treatment of Trimalleolar Fracture |
| LING Kun, YANG Pushan, TANG Hong, et al |
| Guangyuan Central Hospital, Sichuan Guangyuan 628000, China |
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Abstract Objective: To explore the impact of improved anterolateral approach combined with posterior medial approach on ankle stability and functional recovery in patients with trimalleolar fractures. Methods: A retrospective analysis was conducted on 102 patients with trimalleolar fractures treated in our hospital from January 2017 to December 2021. According to different surgical methods, they were divided into a modified group of 49 cases (modified anterolateral approach combined with posterior medial approach) and a traditional group of 53 cases (traditional posterior lateral approach combined with posterior medial approach). The perioperative related indicators, clinical treatment efficacy, incidence of incision complications, ankle stability, and recovery of ankle function were compared between the two groups. Results: The intraoperative bleeding volume, surgical time, time from surgery to bed activity, and fracture healing time in the improved group were significantly lower than those in the traditional group, with statistical significance (P<0.05). The excellent and good treatment rate of the improved group was significantly higher than that of the traditional group, and the difference was statistically significant (P<0.05); the incidence of incision complications in the improved group was significantly lower than that in the traditional group (P<0.05). The comparison of Baird Jackson scores between the two groups showed a statistically significant difference (P<0.05) at 6 months after surgery>2 months after surgery>1 month after surgery>before surgery, and the postoperative improvement group had a significantly higher score, with a statistically significant difference (P<0.05); the comparison of AOFAS scores between the two groups showed a statistically significant difference (P<0.05) at 6 months after surgery>2 months after surgery>1 month after surgery>before surgery, and the postoperative improvement group was significantly higher, with a statistically significant difference (P<0.05). Conclusion: The combination of modified anterior lateral approach and modified posterior medial approach for the treatment of trimalleolar fractures can more effectively increase ankle stability, promote ankle function recovery, and achieve better treatment efficacy with fewer complications.
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2023, Vol. 29 
