CAJ | 학술논문

目的：对空心加压螺钉联合钢板内固定治疗距骨颈骨折的临床疗效进行探讨分析。方法对于2013年10月～2014年6月期间在我院接受治疗的38例闭合距骨颈骨折患者采用空心加压螺钉联合钢板内固定治疗的手术资料进行回顾性分析，并对临床效果以及手术体会进行分析总结。结果38例患者切口均Ⅰ期愈合，其中距骨骨折获得愈合37例，仅有1例患者出现骨折不愈合的情况；术后并发症发生率为7.9%；半年后患者的踝部关节功能评分平均为（87.5±5.4）分，优良率为94.7%。结论空心加压螺钉联合钢板内固定方法对治疗距骨颈骨折具有显著的临床效果，能大大降低术后并发症的发生，并且能够显著提高患者的生活质量，值得在治疗距骨颈骨折的临床实践中进行广泛应用。
목적：대공심가압라정연합강판내고정치료거골경골절적림상료효진행탐토분석。방법대우2013년10월～2014년6월기간재아원접수치료적38례폐합거골경골절환자채용공심가압라정연합강판내고정치료적수술자료진행회고성분석，병대림상효과이급수술체회진행분석총결。결과38례환자절구균Ⅰ기유합，기중거골골절획득유합37례，부유1례환자출현골절불유합적정황；술후병발증발생솔위7.9%；반년후환자적과부관절공능평분평균위（87.5±5.4）분，우량솔위94.7%。결론공심가압라정연합강판내고정방법대치료거골경골절구유현저적림상효과，능대대강저술후병발증적발생，병차능구현저제고환자적생활질량，치득재치료거골경골절적림상실천중진행엄범응용。
Objective To explore clinical effect of cannulated compression screw combined with plate fixation in treatment of talar neck fracture. Methods Review and analyze surgical treatment data selected from 38 patients with talar neck fracture who are treated with cannulated compression screw combined with plate fixation treatment in hospital from October 2013 to June 2014 and then summarize clinical treatment effect and surgical treatment experience. Results Al of 38 patients have their wound healed at stage I; 37 patients have talar neck fracture healed, the other one is otherwise; the post-surgical complication incidence is up to 7.9%; and what’s more, patients’ankle function score reaches to(87.5±5.4)on average after half a year treatment with treatment excel ence rate of 94.7%. Conclusion Cannulated compression screw combined with plate fixation in treatment is of clinical efficacy in treatment of talar neck fracture;it is conducive to reducing post-surgical complication incidence and improving patients’quality of life significantly;thus, such a treatment approach is quite worthwhile to be clinical y promoted and applied.