外后双切口入路治疗外踝后踝骨折的体会
|
摘要
目的:探讨外后双切口入路治疗外踝后踝骨折的疗效。方法:2008年1月~2013年3月,笔者采用外后双切口入路治疗外踝后踝骨折56例,评价踝关节功能及骨折愈合情况。结果:本组56例患者均获得随访10~15个月,平均12.5个月。踝关节功能评价:优38例,良16例,不良2例,优良率96.43%。全部患者均获得骨性愈合,骨性愈合时间11~17w,平均12.9w。结论:外后双切口入路是治疗外踝后踝骨折的良好入路,显露清楚、组织创伤小。
Objective:To approach the summary of two incisal opening approach to treat bone fracture of external malleolus and ventral condyle. Methods:Between January 2008 and March 2013,56 patients of bone fracture of external malleolus and ventral condyle were treated with two incisal opening approach,to appraise ankle-joint function and union of fracture. Results:All patients were followed average 12.5months(10~15 months). Ankle-joint function:38 patients were well,16 patients were good,2 patients were no good,the good and acceptable rat was 96.43%. All patients gained bone union,the time of bone union was average 12.9 months(11~17months). Conclusion:The approach of two incisal opening is a modus operandi to treat bone fracture of external malleolus and ventral condyle,reveal clear and tiny insult.
Objective:To approach the summary of two incisal opening approach to treat bone fracture of external malleolus and ventral condyle. Methods:Between January 2008 and March 2013,56 patients of bone fracture of external malleolus and ventral condyle were treated with two incisal opening approach,to appraise ankle-joint function and union of fracture. Results:All patients were followed average 12.5months(10~15 months). Ankle-joint function:38 patients were well,16 patients were good,2 patients were no good,the good and acceptable rat was 96.43%. All patients gained bone union,the time of bone union was average 12.9 months(11~17months). Conclusion:The approach of two incisal opening is a modus operandi to treat bone fracture of external malleolus and ventral condyle,reveal clear and tiny insult.
引文
[1]黄卫民.手术治疗三踝骨折的临床疗效探讨[J].骨科,2012,3(4):209-210.
[2]鲁迪,巴克利,莫兰.骨折治疗的AO原则[M].上海:上海科学技术出版社,2010:658-659.
[3]郑寿鹏.内固定与外固定手术治疗三踝骨折90例疗效比较研究[J].医学综述,2012,18(18):3132-3133.
[4]赵相森,丁蕊.张力带丝线加交叉钢针内固定治疗内踝骨折疗效分析[J].创伤外科杂志,2009,11(1)73.
[5]程涛,孟祥财,王立超.切开复位内固定治疗后踝骨折的临床疗效分析[J].中国医学工程,2012,10(10):166-167.
[6]许月平,王建国.三踝骨折36例急诊手术治疗临床体会[J].中国医药与临床,2012,12(11):1472-1474.
[7]王大鹏.可吸收螺钉加外踝钢板治疗三踝骨折[J].中医临床研究,2012,4(20):55-56.
[8]周少斌.空心加压螺钉内固定治疗内踝骨折31例疗效分析[J].中国医药指南,2012,10(25):191-192.
[2]鲁迪,巴克利,莫兰.骨折治疗的AO原则[M].上海:上海科学技术出版社,2010:658-659.
[3]郑寿鹏.内固定与外固定手术治疗三踝骨折90例疗效比较研究[J].医学综述,2012,18(18):3132-3133.
[4]赵相森,丁蕊.张力带丝线加交叉钢针内固定治疗内踝骨折疗效分析[J].创伤外科杂志,2009,11(1)73.
[5]程涛,孟祥财,王立超.切开复位内固定治疗后踝骨折的临床疗效分析[J].中国医学工程,2012,10(10):166-167.
[6]许月平,王建国.三踝骨折36例急诊手术治疗临床体会[J].中国医药与临床,2012,12(11):1472-1474.
[7]王大鹏.可吸收螺钉加外踝钢板治疗三踝骨折[J].中医临床研究,2012,4(20):55-56.
[8]周少斌.空心加压螺钉内固定治疗内踝骨折31例疗效分析[J].中国医药指南,2012,10(25):191-192.