后踝至内踝切开复位内固定对三踝骨折疗效及踝功能的影响

发布时间：2018-02-09 03:22

本文关键词： 切开复位三踝骨折短期疗效踝功能　出处：《实用骨科杂志》2016年12期 　论文类型：期刊论文

【摘要】：目的分析采用后踝至内踝的切开复位固定顺序治疗三踝骨折患者的短期疗效以及对踝功能的恢复情况,为临床应用提供依据。方法选取2012年4月至2014年4月间我院收治的40例三踝骨折患者作为本次研究的临床样本,采用随机数表将患者分为对照组和观察组,对照组患者使用后踝-外踝-内踝的复位固定顺序进行治疗,观察组患者使用后踝-外踝-内踝的复位固定顺序进行治疗,对患者的术中后踝复位次数及骨折愈合时间短期疗效评价指标进行观察。在患者术后3周、6周、12周、半年及1年后依照美国足踝外科协会(American orthopaedic foot and ankle society,AOFAS)踝后足评分标准对患者踝关节功能恢复情况进行调查。结果观察组患者后踝复位次数显著低于对照组;观察组患者伤口愈合时间显著短于对照组;术后12周及术后半年时观察组患者AOFAS评分显著优于对照组。结论采用后踝-外踝-内踝的复位固定顺序对患者进行治疗时,可减少复位次数,缩短伤口愈合时间,改善预后关节功能,因而其可以作为手术治疗三踝骨折的理想方案。
[Abstract]:Objective to analyze the short-term effect of open reduction and fixation of posterior to medial malleolus in the treatment of trimalleolar fracture and the recovery of ankle function. Methods from April 2012 to April 2014, 40 patients with trimalleolar fracture were selected as clinical samples, and the patients were divided into control group and observation group by random number table. The patients in the control group were treated with the reduction and fixation sequence of the posterior malleolus lateral malleolus and the medial malleolus while the patients in the observation group were treated with the posterior malleolus lateral malleolus medial malleolar reduction and fixation sequence. To evaluate the short-term curative effect of the patients with posterior malleolus reduction times and fracture healing time, the patients were observed at 3 weeks, 6 weeks and 12 weeks after operation. Six months and one year later, the functional recovery of the ankle joint in the observation group was significantly lower than that in the control group, according to the American orthopaedic foot and ankle AOFAS-American orthopaedic foot and ankle score. The time of wound healing in the observation group was significantly shorter than that in the control group, and the AOFAS score in the observation group was significantly better than that in the control group at 12 weeks after operation and half a year after operation. Conclusion when the patients were treated with posterior malleolus-lateral malleolus and medial malleolus reduction and fixation sequence, It can reduce the times of reduction, shorten the time of wound healing and improve the function of prognosis joint, so it can be used as an ideal scheme for the treatment of trimalleolar fractures.
【作者单位】：成都市第五人民医院骨科;
【分类号】：R687.3

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