中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2013年
6期
536-540
,共5页
踝损伤%骨折固定术,内%外固定器%后外侧入路
踝損傷%骨摺固定術,內%外固定器%後外側入路
과손상%골절고정술,내%외고정기%후외측입로
Ankle injuries%Fracture fixation,internal%External fixators%Posterolateral approach
目的 评价行腓骨后外侧入路治疗三踝骨折尤其是后踝骨折的临床疗效. 方法 回顾性分析2006年7月-2011年7月采用踝关节后外侧入路治疗32例三踝骨折患者的临床资料,其中Lauge-Hansen旋后外旋型Ⅳ度22例,旋前外旋型Ⅳ度10例,均采用切开复位内固定手术治疗. 结果 术后通过12～18个月(平均15.5个月)的随访,所有患者均达到骨性愈合.根据美国足踝外科学会(American Orthopaedic Foot&Ankle Society,AOFAS)问卷调查,平均得分为90.75分,结果为优.根据Kellgren创伤性关节炎分级:0级8例,Ⅰ级18例,Ⅱ级5例,Ⅲ级1例,疗效满意. 结论采用腓骨后外侧入路治疗三踝骨折,可以直接对后踝骨折进行复位与固定,疗效满意,值得临床应用.
目的 評價行腓骨後外側入路治療三踝骨摺尤其是後踝骨摺的臨床療效. 方法 迴顧性分析2006年7月-2011年7月採用踝關節後外側入路治療32例三踝骨摺患者的臨床資料,其中Lauge-Hansen鏇後外鏇型Ⅳ度22例,鏇前外鏇型Ⅳ度10例,均採用切開複位內固定手術治療. 結果 術後通過12～18箇月(平均15.5箇月)的隨訪,所有患者均達到骨性愈閤.根據美國足踝外科學會(American Orthopaedic Foot&Ankle Society,AOFAS)問捲調查,平均得分為90.75分,結果為優.根據Kellgren創傷性關節炎分級:0級8例,Ⅰ級18例,Ⅱ級5例,Ⅲ級1例,療效滿意. 結論採用腓骨後外側入路治療三踝骨摺,可以直接對後踝骨摺進行複位與固定,療效滿意,值得臨床應用.
목적 평개행비골후외측입로치료삼과골절우기시후과골절적림상료효. 방법 회고성분석2006년7월-2011년7월채용과관절후외측입로치료32례삼과골절환자적림상자료,기중Lauge-Hansen선후외선형Ⅳ도22례,선전외선형Ⅳ도10례,균채용절개복위내고정수술치료. 결과 술후통과12～18개월(평균15.5개월)적수방,소유환자균체도골성유합.근거미국족과외과학회(American Orthopaedic Foot&Ankle Society,AOFAS)문권조사,평균득분위90.75분,결과위우.근거Kellgren창상성관절염분급:0급8례,Ⅰ급18례,Ⅱ급5례,Ⅲ급1례,료효만의. 결론채용비골후외측입로치료삼과골절,가이직접대후과골절진행복위여고정,료효만의,치득림상응용.
Objective To evaluate the outcome of posterolateral approach to the fibula for trimalleolar fractures,especially the fracture in posterior malleolus.Methods Thirty-two patients with trimalleolar fractures treated via posterolateral transmalleolar approach from July 2006 to July 2011 were analyzed retrospectively.All underwent open reduction and internal fixation,including 22 Lauge-Hansen grade Ⅳ supination-external rotation ankle fractures and 10 Lauge-Hansen grade Ⅳ pronation-extemal rotation ankle fractures.Results All fractures had bone union after the follow-up of average 15.5 months (range,12-18 months).Average American Orthopedic Foot & Ankle Society (AOFAS) score was 90.75points,suggesting an excellent result.Kellgren grading system for posttraumatic arthritis severity was grade 0 in eight patients,grade Ⅰ in 18,grade Ⅱ in five,and grade Ⅲ in one,which turned out to be satisfactory.Conclusions Posterolateral approach to the fibula for trimalleolar fractures allows direct reduction and fixation of posterior malleolus fragment in treatment of trimalleolar factures and the clinical outcome is satisfactory.Moreover,the approach deserves clinical practice.
