| 踝关节韧带损伤的早期诊治 |
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投稿时间：2007-02-14
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| 作者 | Author | 单位 | Address | E-Mail |
| 陈兆军 |
CHEN Zhao-jun |
北京中医药大学第三附属医院骨科北京足踝外科研究所,北京100029 |
Department of Orthopaedics,the Third Affiliated Hospital,Beijing University of Chinese Medicine,Beijing 100029,China |
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| 唐凡启 |
TANG Fan-qi |
北京中医药大学第三附属医院骨科北京足踝外科研究所,北京100029 |
Department of Orthopaedics,the Third Affiliated Hospital,Beijing University of Chinese Medicine,Beijing 100029,China |
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| 林顺福 |
LIN Shun-fu |
北京中医药大学第三附属医院骨科北京足踝外科研究所,北京100029 |
Department of Orthopaedics,the Third Affiliated Hospital,Beijing University of Chinese Medicine,Beijing 100029,China |
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| 陈宇明 |
CHEN Yu-ming |
北京中医药大学第三附属医院骨科北京足踝外科研究所,北京100029 |
Department of Orthopaedics,the Third Affiliated Hospital,Beijing University of Chinese Medicine,Beijing 100029,China |
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| 李昕宇 |
LI Xin-yu |
北京中医药大学第三附属医院骨科北京足踝外科研究所,北京100029 |
Department of Orthopaedics,the Third Affiliated Hospital,Beijing University of Chinese Medicine,Beijing 100029,China |
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| 朱应文 |
ZHU Ying-wen |
北京中医药大学第三附属医院骨科北京足踝外科研究所,北京100029 |
Department of Orthopaedics,the Third Affiliated Hospital,Beijing University of Chinese Medicine,Beijing 100029,China |
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| 方志良 |
FANG Zhi-liang |
北京中医药大学第三附属医院骨科北京足踝外科研究所,北京100029 |
Department of Orthopaedics,the Third Affiliated Hospital,Beijing University of Chinese Medicine,Beijing 100029,China |
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| 期刊信息：《中国骨伤》2007年，第20卷，第5期，第330-331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:探讨踝关节韧带损伤早期诊治的重要性。
方法:48例踝关节韧带损伤患者,男28例,女20例;年龄13~52岁,平均29岁。其中踝关节外侧扭伤46例,内侧2例。受伤至治疗时间3h~2周,平均3.5d。根据坎贝尔手术学分类标准:Ⅰ度损伤21例,Ⅱ度损伤18例,Ⅲ度损伤9例。48例患者均采用踝关节的固定制动治疗,支具固定27例,石膏固定12例,绷带绑缚9例。6周后拆除外固定。随访观察,对结果进行疗效分析。
结果:48例患者均获得随访,随访时间10个月~4年,平均2.9年。踝关节功能活动良好,未出现踝关节不稳及功能活动异常。按照美国足踝外科学会制定踝后足评分标准进行疗效评定:优42例,良5例,中等1例。
结论:踝关节韧带损伤应该引起重视,力争做到早期诊断,并早期行踝关节固定制动,以免引起踝关节不稳。 |
| 【关键词】踝损伤 韧带 外固定器 |
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| The early diagnosis and treatment for ankle wrick |
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ABSTRACT
Objective:To explore the significance of early diagnosis and treatment for ankle wrick.
Methods: Forty-eight patients with ankle ligament wricked were studied including 28 male and 20 female,age 13 to 52 years(average,29 years).The outboard wrick of ankle joint was occurred in 46 patients,inboard in 2 patients.The time from wricked to treatment were 3 hours to 2 weeks(average,3.5 days).According Campbell′s Operative Orthopaedics clinical symptom system,21 patients were of degree Ⅰ,18 patients of degreeⅡ,9 patients of degree Ⅲ.Forty-eight patients were fixed,27 patients with ankle joint brace,12 patients with plaster cast,9 patients with bandage.After 6 weeks backout the fixation,to study the effect of ankle joint function.
Results: The 48 patients were followed up 10 months to 4 years(average 2.9 years).The ankle movement were all right,without instability and impedient.Based on AOFAS Ankle Hindfoot Scale,42 patients were excellent,5 patients were good, 1 patient was fair.
Conclusion:The ankle wrick must be early diagnosed and be treated.Instability of the ankle joint can avoid. |
| KEY WORDS Ankle injuries Ligaments External fixators |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 陈兆军,唐凡启,林顺福,陈宇明,李昕宇,朱应文,方志良.踝关节韧带损伤的早期诊治[J].中国骨伤,2007,20(5):330~331 |
| 英文格式: | CHEN Zhao-jun,TANG Fan-qi,LIN Shun-fu,CHEN Yu-ming,LI Xin-yu,ZHU Ying-wen,FANG Zhi-liang.The early diagnosis and treatment for ankle wrick[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(5):330~331 |
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