CAJ | 학술논문

目的探讨分析急诊外科治疗距骨骨折脱位的疗效.方法回顾分析武汉大学人民医院自2004年1月-2010年1月收治的21例距骨骨折伴脱位患者,均急诊切开复位,松质骨螺钉固定,术后中立位管形石膏固定、保持患肢不负重,视复查X片情况进行功能锻炼.结果 21例患者经急诊手术治疗后随访6个月～3.8年,根据美国足踝外科医师协会(AOFAS)踝-后足评分标准进行评估,优良率为61.91%.结论距骨骨折脱位经急诊手术、解剖复位、有效内固定、术后不负重管形石膏固定等治疗,效果优良,并发症发病率低.
목적탐토분석급진외과치료거골골절탈위적료효.방법회고분석무한대학인민의원자2004년1월-2010년1월수치적21례거골골절반탈위환자,균급진절개복위,송질골라정고정,술후중립위관형석고고정、보지환지불부중,시복사X편정황진행공능단련.결과 21례환자경급진수술치료후수방6개월～3.8년,근거미국족과외과의사협회(AOFAS)과-후족평분표준진행평고,우량솔위61.91%.결론거골골절탈위경급진수술、해부복위、유효내고정、술후불부중관형석고고정등치료,효과우량,병발증발병솔저.
Objective To evaluate the surgical therapy on dislocated fracture of talus. Methods Retrospective analysis was mode in 21 patients with dislocated fracture of talus collected from Jan. 2004 to Jan.2010, which were treated with open reduction, cannulated screw fixation, and kept neutral position plaster fixation with no weight loading, to do functional exercise depending on the Ⅹ film demonstrations. Results All the patients were followed up from 6 months to 3.8 years post-operation, and according to the evaluation standard by American Foot-Ankle Surgery Society, good rate was 61.91%. Conclusion Treating dislocated fracture of talus with emergency operation, anatomical reduction, valid internal fixation and no weight loading plaster fixation post-operation, shows good effect with low rate of complication.