医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2015年
3期
301-302,315
,共3页
内外踝骨折%钢板螺钉内固定%临床疗效
內外踝骨摺%鋼闆螺釘內固定%臨床療效
내외과골절%강판라정내고정%림상료효
Bimalleolar fractures%Internal fixation%Clinical outcome
目的：探讨内外踝联合手术治疗双踝骨折的临床疗效。方法：回顾性分析2008年5月－2013年5月期间因双踝骨折行手术治疗且有完整随访资料者38例，手术均采用外侧联合内侧入路切开复位钢板螺钉内固定；分析患者踝关节骨折愈合情况、内固定系统稳定性和踝关节Baird‐Jackson评分。结果：所有患者均获得骨性愈合，愈合时间10～14周，平均12．7周；远期踝关节功能Baird‐Jackson评分（93．8±7．3）分，优良率84．2％。结论：内外踝联合手术治疗双踝骨折，术中可以使得踝关节骨折获得解剖复位、坚强内固定，为早期踝关节功能锻炼提供了坚实保障，有效预防创伤性关节炎等并发症，是治疗双踝骨折的可靠手段。
目的：探討內外踝聯閤手術治療雙踝骨摺的臨床療效。方法：迴顧性分析2008年5月－2013年5月期間因雙踝骨摺行手術治療且有完整隨訪資料者38例，手術均採用外側聯閤內側入路切開複位鋼闆螺釘內固定；分析患者踝關節骨摺愈閤情況、內固定繫統穩定性和踝關節Baird‐Jackson評分。結果：所有患者均穫得骨性愈閤，愈閤時間10～14週，平均12．7週；遠期踝關節功能Baird‐Jackson評分（93．8±7．3）分，優良率84．2％。結論：內外踝聯閤手術治療雙踝骨摺，術中可以使得踝關節骨摺穫得解剖複位、堅彊內固定，為早期踝關節功能鍛煉提供瞭堅實保障，有效預防創傷性關節炎等併髮癥，是治療雙踝骨摺的可靠手段。
목적：탐토내외과연합수술치료쌍과골절적림상료효。방법：회고성분석2008년5월－2013년5월기간인쌍과골절행수술치료차유완정수방자료자38례，수술균채용외측연합내측입로절개복위강판라정내고정；분석환자과관절골절유합정황、내고정계통은정성화과관절Baird‐Jackson평분。결과：소유환자균획득골성유합，유합시간10～14주，평균12．7주；원기과관절공능Baird‐Jackson평분（93．8±7．3）분，우량솔84．2％。결론：내외과연합수술치료쌍과골절，술중가이사득과관절골절획득해부복위、견강내고정，위조기과관절공능단련제공료견실보장，유효예방창상성관절염등병발증，시치료쌍과골절적가고수단。
Objective :To evaluate the clinical outcome of combined medial and lateral malleolus surgical treatment for bimalleolar fractures .Methods :38 patients suffered from the bimalleolar fracture were treated with internal fixation via combined medial and lateral malleolus approach from May 2008 to May 2013 ,the data were analyzed retrospectively . All patients were evaluated with the healing of fracture ,instability ,walking ability ,radiological manifestations ,and the Baird‐Jackson score .Results:All fractures patients had bone union ,time to bone union varied from 10~14 weeks with an average of 12 .7 weeks .The Baird‐Jackson score was(93 .8 ± 7 .3) ,suggesting an excellent result .Conclusion:Combined medial and lateral malleolus surgical treatment for bimalleolar fractures allows direct reduction and fixation of the bone fracture fragments ,ensure anatomical joint restoration ,enable early functional exercise ,and avoid the oc‐currence of traumatic arthritis ,is an effective treatment for bimalleolar fractures .
