中国医师杂志
中國醫師雜誌
중국의사잡지
JOURNAL OF CHINESE PHYSICIAN
2011年
z1期
47-50
,共4页
后踝骨折%解剖复位%内固定%踝关节骨折手术治疗
後踝骨摺%解剖複位%內固定%踝關節骨摺手術治療
후과골절%해부복위%내고정%과관절골절수술치료
Fractures of posterior malleolus ( FPM )%Anatomic reduction%Internal fixation%Ankle fracture surgical treatment
目的 总结治疗踝关节骨折中后踝骨折的手术方法和治疗效果.方法 自2005年3月至2010年6月,手术治疗后踝骨折54例.男36例,女18例;根据CT分类Ⅰ型36例,Ⅱ型10例,Ⅲ型8例.应用改良的Baird-Jackson评分系统对其术后疗效进行评定,并将骨折类型、骨折固定方法、术后功能锻炼时间与最终功能的关系进行分析.结果 随访时间为6～36个月,平均18个月.54例疗效:优29例,良18例,可5例,差2例,优良率为87.03%.除4例长时间行走有轻微疼痛外,其余患者均无疼痛.结论 手术治疗后踝骨折可取得满意的骨折复位和临床疗效,复位的质量与疗效密切相关,判断骨折类型和选择固定方法对于提高复位质量,改善远期疗效十分重要.
目的 總結治療踝關節骨摺中後踝骨摺的手術方法和治療效果.方法 自2005年3月至2010年6月,手術治療後踝骨摺54例.男36例,女18例;根據CT分類Ⅰ型36例,Ⅱ型10例,Ⅲ型8例.應用改良的Baird-Jackson評分繫統對其術後療效進行評定,併將骨摺類型、骨摺固定方法、術後功能鍛煉時間與最終功能的關繫進行分析.結果 隨訪時間為6～36箇月,平均18箇月.54例療效:優29例,良18例,可5例,差2例,優良率為87.03%.除4例長時間行走有輕微疼痛外,其餘患者均無疼痛.結論 手術治療後踝骨摺可取得滿意的骨摺複位和臨床療效,複位的質量與療效密切相關,判斷骨摺類型和選擇固定方法對于提高複位質量,改善遠期療效十分重要.
목적 총결치료과관절골절중후과골절적수술방법화치료효과.방법 자2005년3월지2010년6월,수술치료후과골절54례.남36례,녀18례;근거CT분류Ⅰ형36례,Ⅱ형10례,Ⅲ형8례.응용개량적Baird-Jackson평분계통대기술후료효진행평정,병장골절류형、골절고정방법、술후공능단련시간여최종공능적관계진행분석.결과 수방시간위6～36개월,평균18개월.54례료효:우29례,량18례,가5례,차2례,우량솔위87.03%.제4례장시간행주유경미동통외,기여환자균무동통.결론 수술치료후과골절가취득만의적골절복위화림상료효,복위적질량여료효밀절상관,판단골절류형화선택고정방법대우제고복위질량,개선원기료효십분중요.
Objective To evaluate the clinical significance of anatomic reduction and internal fixation of posterior malleolar fracture in ankle fracture surgical treatment. Methods Fifty-four patients with posterior malleolar fracture were treated with anatomic reduction and internal fixation from March 2005 to June 2010. The patients groups consisted of 36 males and 18 females. According to CT scan classification,the group was made up of 36 type Ⅰ cases, 10 type Ⅱ and 8 type Ⅲ cases. All patients were evaluated with modified Baird-Jackson scoring system. The relationship between final result and fracture pattern , fixation methods, the time of exercise initiation fitted operation were analyzed respectively. Results The followedup period varied from 6 months to 36 months, with an average of 18 months. The number of patients whose result was excellent, good, fair and poor was respective 29,18 ,5 and 2. The total percent age of good to excellent clinical result was 87. 03%. There were 4 patients who had only slight pain after long time walking ,the remainder patients were completed with no pain. Conclusion Operative treatment may provide satisfactory fracture anatomic reduction and internal fixation for posterior malleolar fracture. Correct fracture pattern estimation and proper internal fixation are important to achieve and improve reduction quality, and to ameliorate better long term results.
