CAJ | 학술논문

目的探讨踝关节骨折手术治疗的临床疗效.方法回顾性分析2007年3月至2009年10月97例踝关节骨折患者的临床资料,所有患者术前均行CT和三维重建检查判断踝关节损伤情况,并据此选择手术治疗方案,术后在医生指导下进行功能锻炼,并采用改良Baird-Jackson评分系统对疗效进行评价.结果术后随访6～18个月,平均13个月.疗效为优者64例(66.0%),良22例(22.7%),可6例(6.2%),差5例(5.2%),优良率为88.7%.术后2例患者出现伤口周围皮肤坏死,无患者发生骨不连、骨折畸形愈合等,术后6个月8例患者行走时仍有小腿酸胀和踝部不适感,合并下胫腓联合分离的患者中1例发生轻度骨性关节炎.结论术前合理的处理以及正确的选择手术时机,术中完美的复位和稳定的内固定,术后指导患者进行积极的功能锻炼,可使踝关节骨折患者获得良好的临床疗效.
목적 탐토과관절골절수술치료적림상료효.방법 회고성분석2007년3월지2009년10월97례과관절골절환자적림상자료,소유환자술전균행CT화삼유중건검사판단과관절손상정황,병거차선택수술치료방안,술후재의생지도하진행공능단련,병채용개량Baird-Jackson평분계통대료효진행평개.결과 술후수방6～18개월,평균13개월.료효위우자64례(66.0%),량22례(22.7%),가6례(6.2%),차5례(5.2%),우량솔위88.7%.술후2례환자출현상구주위피부배사,무환자발생골불련、골절기형유합등,술후6개월8례환자행주시잉유소퇴산창화과부불괄감,합병하경비연합분리적환자중1례발생경도골성관절염.결론 술전합리적처리이급정학적선택수술시궤,술중완미적복위화은정적내고정,술후지도환자진행적겁적공능단련,가사과관절골절환자획득량호적림상료효.
Objective To explore the results of internal fixation performed for ankle joint fracture.Methods From march 2007 to october 2009, Of 97 cases with ankle joint fractures were treated with open reduction and internal fracture, All cases were examined preoperation by CT scan and 3-D CT. Select the best surgical approach based on the 3-D CT views. Postoperative function exercise was performed under the guidance of doctors.All patients were evaluated with modified Baird and Jackson scoring system for postoperative function. Results A follow-up for 6 ～ 18 months showed that 64 cases(66% ) with an excellent result, good in 22 cases(22.7% ), fair in 6 cases(6.2% ) and poor in 5 cases(5.2% ). Excellent and good results were 88.7%. 2 cases with around skin necrosis after surgery, no patients with nonunion, malunion. Eight cases of patients still had legs sour and ankle soreness. I case merge syndesmosis occurred with mild osteoarthritis after 6 months of operation. Conclusions Preoperative treatment reasonable and select the correct surgical time, intraoperative perfect reduction and stable internal fixation, postoperative with positive exercise in patients with ankle fractures can obtain good clinical efficacy.