| 踝部旋前外展Ⅲ度骨折三种治疗方法的远期疗效比较 |
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投稿时间：2003-11-28
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| 期刊信息：《中国骨伤》2004年，第17卷，第10期，第582-583页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的:探讨手法整复夹板固定和切开复位内固定对踝部旋前外展Ⅲ度骨折的治疗效果及优缺点。
方法:不同时期的171例踝部旋前外展Ⅲ度骨折分别应用手法整复夹板固定、切开复位松质骨螺丝钉加三棱髓内针内固定石膏外固定、切开复位张力带钢丝内固定三种方法进行治疗。
结果:经2-16年,平均8.4年的随访,手法整复组优良率为39％;松质骨螺丝钉加三棱髓内针内固定石膏外固定组优良率为65％;张力带钢丝内固定组优良率为90％。三种方法疗效差异有显著性意义(P<0.05)。
结论:张力带钢丝内固定对踝部旋前外展Ⅲ度骨折是一种较为理想的治疗方法。 |
| 【关键词】踝部骨折 旋前外展Ⅲ度 治疗结果 |
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| Comparison of three methods for long-term results in fracture of ankle with pronation and abduction degreeⅢ |
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ABSTRACT
Objective:To compare the results of manipulative reduction with splinting,and open reduction with internal fixation for fracture of ankle with pronation and abduction degree Ⅲ.
Methods: One hunder and seventy-one patients of fracture of ankle with pronation and abduction degree Ⅲ were treated with three methods,manipulative reduction with splinting,open reduction with internal fixation of cancellous bone screw or triangular intramedullary pin, and open reduction with internal fixation of tension wire.
Results: With the follow-up of 2-16 years (on average of 8.4 years) ,the good and excellent rate was 39% for manipulative reduction with splinting,65% for open reduction with screw fixation,and 90% for open reduction with tension wire, which showed significant difference among the three groups (P<0.05).
Conclusion: Open reduction with tension wire internal fixation is the best method in treating fracture of ankle with pronation and abduction |
| KEY WORDS Fracture of ankle Pronation and abduction degree Ⅲ Results of treatment |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 段西峰,刘振华,段慧,段颖,刘凯.踝部旋前外展Ⅲ度骨折三种治疗方法的远期疗效比较[J].中国骨伤,2004,17(10):582~583 |
| 英文格式: | DUAN Xi-feng,LIU Zhen-hua,DUAN Hui,DUAN Ying,LIU Kai.Comparison of three methods for long-term results in fracture of ankle with pronation and abduction degreeⅢ[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(10):582~583 |
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