漂浮体位下后外侧联合前内侧入路治疗三踝骨折

发布时间：2019-04-03 09:20

【摘要】：目的:探讨漂浮体位下后外侧联合前内侧入路治疗三踝骨折的手术方法及疗效。方法:对21例三踝关节骨折患者采用漂浮体位下后外侧入路治疗外踝后踝骨折、前内侧入路治疗内踝骨折,对治疗效果进行评价。结果:21例患者中除1例切口感染经扩创换药后愈合外,其他患者切口均甲级愈合。21例术后随访4~20个月,平均14个月,骨折均获得愈合,未发生钢板螺钉松动、断裂。根据美国足与踝关节协会踝与后足功能(AOFAS)评分标准,21例患者中优12例、良5例、可4例,优良率为80.95%。结论:采用漂浮体位下内外侧联合入路治疗三踝骨折,便于踝关节内、外、后侧骨折的暴露,特别有利于兼顾后踝与内踝的直视下解剖复位内固定,值得临床推广。
[Abstract]:Objective: to explore the operative method and curative effect of lower posterolateral approach combined with anterior medial approach for trimalleolus fracture in floating position. Methods: 21 patients with trimalleolus fracture were treated with floating posterolateral approach and medial malleolus fracture by anterior-medial approach. The therapeutic effect was evaluated. Results: all the 21 patients were followed up for 4 months for 20 months (mean 14 months), except for 1 case of wound infection and wound healing after dressing change, and no loosening and breaking of plate and screw were found in all the 21 cases after operation. The fracture was followed up for 4 months (mean 14 months), and no loosening and fracture of plate and screw were found in all the 21 cases. According to the (AOFAS) score of ankle and hindfoot function of the American foot and ankle Association, 12 cases were excellent, 5 cases were good and 4 cases were fair, the excellent and good rate was 80.95%. Conclusion: it is convenient for the exposure of internal, external and posterior fractures of ankle to treat trimalleolus fracture by combined approach in floating position, which is especially beneficial to anatomic reduction and internal fixation of both posterior malleolus and medial malleolus under direct vision, which is worth popularizing in clinical practice.
【作者单位】： 南通大学第二附属医院骨科;
【分类号】：R687.3
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本文编号：2453100