CAJ | 학술논문

目的探讨不同内固定方式对踝部骨折的治疗效果.方法 150例踝关节骨折患者手术治疗并采用单纯克氏针交叉固定、普通螺丝钉髓内固定、松质骨加压螺丝钉固定、4孔普通钢板固定、张力带固定5种不同内固定方式.随访并采用美国足踝外科协会后足评分系统进行评分,观察患者术后恢复情况及并发症的发生情况.结果 150例患者分别进行12 ～24个月的随访,平均随访时间为19个月,预后优29例,良65例,可44例,差12例,手术治疗的优良率为62.6％ (94/150)；手术后骨折不愈合1例,骨折畸形愈合6例,创伤性关节炎7例,伤口疼痛10例,术后并发症的发生率为16.0％ (24/150)；术后发生浅层感染10例,深层感染5例,有严重皮肤刺激感11例,术后感染的发生率为17.3％(26/150).结论手术治疗踝关节骨折5种不同的内固定方式对踝关节骨折均有较好的治疗效果.
목적 탐토불동내고정방식대과부골절적치료효과.방법 150례과관절골절환자수술치료병채용단순극씨침교차고정、보통라사정수내고정、송질골가압라사정고정、4공보통강판고정、장력대고정5충불동내고정방식.수방병채용미국족과외과협회후족평분계통진행평분,관찰환자술후회복정황급병발증적발생정황.결과 150례환자분별진행12 ～24개월적수방,평균수방시간위19개월,예후우29례,량65례,가44례,차12례,수술치료적우량솔위62.6％ (94/150)；수술후골절불유합1례,골절기형유합6례,창상성관절염7례,상구동통10례,술후병발증적발생솔위16.0％ (24/150)；술후발생천층감염10례,심층감염5례,유엄중피부자격감11례,술후감염적발생솔위17.3％(26/150).결론 수술치료과관절골절5충불동적내고정방식대과관절골절균유교호적치료효과.
Objective To investigate the treatment effects of different fixation for fracture and dislocation of ankle joint and to sum up the experience for clinical treatment.Methods One hundred and fifty patients with fracture and dislocation of ankle joint using 5 different internal fixation surgeries were involved with this research:simple cross Kirschner wire fixation,intramedullary fixation ordinary screws,cancellous lag screw fixation,4 holes common plate fixation,tension band fixation.Patients were followed up and evaluated by the American Orthopedic Foot and Ankle Society Score for scoring,and investigated the postoperative recovery and the occurrence of postoperative infections and complications in patients.Results After followed up from 12 to 24 months with an average follow-up time of 19 months,of 150 patients,there were 29 cases with excellent result,65 cases with good result,44 cases with general and 12 cases with poor result,the excellent and good rate was 62.6％ (94/150).One case with nonunion,6 cases with malunion,7 cases with traumatic arthritis,10 cases with wound pain,the incidence of postoperative complications was 16.0％ (24/150).There were 10 cases with shallow infection,5 cases with deep infection,and 11 cases with severe skin irritation; The incidence of postoperative infection was 17.3％ (26/150).Conclusion Surgical treatment is the main treatment of fracture and dislocation of ankle joint,5 different methods of internal fixation of ankle fractures had good therapeutic effect.