| 闭合复位经皮微创内固定治疗内踝骨折 |
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投稿时间：2011-03-23
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| 作者 | Author | 单位 | Address | E-Mail |
| 杜浩 |
DU Hao |
河南科技大学第一附属医院骨科，河南 洛阳 471003 |
Department of Orthopaedics, the First Hospital Affiliated to Science and Technique University of Henan, Luoyang 471003, Henan, China |
duhaofy@163.com |
| 田笑笑 |
TIAN Xiao-xiao |
河南科技大学第一附属医院消化科 |
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| 李同森 |
LI Tong-sen |
河南科技大学第一附属医院骨科，河南 洛阳 471003 |
Department of Orthopaedics, the First Hospital Affiliated to Science and Technique University of Henan, Luoyang 471003, Henan, China |
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| 储建军 |
CHU Jian-jun |
安徽医科大学第三附属医院骨科 |
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| 熊明月 |
XIONG Ming-yue |
河南科技大学第一附属医院骨科，河南 洛阳 471003 |
Department of Orthopaedics, the First Hospital Affiliated to Science and Technique University of Henan, Luoyang 471003, Henan, China |
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| 王俊生 |
WANG Jun-sheng |
河南科技大学第一附属医院骨科，河南 洛阳 471003 |
Department of Orthopaedics, the First Hospital Affiliated to Science and Technique University of Henan, Luoyang 471003, Henan, China |
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| 许九生 |
XU Jiu-sheng |
河南科技大学第一附属医院骨科，河南 洛阳 471003 |
Department of Orthopaedics, the First Hospital Affiliated to Science and Technique University of Henan, Luoyang 471003, Henan, China |
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| 期刊信息：《中国骨伤》2011年，第24卷，第9期，第788-790页 |
| DOI：10.3969/j.issn.1003-0034.2011.09.022 |
| 基金项目: |
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中文摘要:
目的：探讨一种采用微创、有效、经济的手术方式治疗内踝骨折的临床疗效。
方法：2008年3月至2010年8月，治疗内踝骨折19例，男12例，女7例；年龄17～42岁，平均31.7岁。内踝骨折经闭合复位后，分别采用1枚空心加压螺钉经骨折面中央并与其垂直置入，1枚克氏针过骨折面与内踝轴线一致斜行打入并过对侧骨皮质。术后通过Kaikkonen踝关节损伤功能评分与影像学检查进行疗效评定。
结果：术后所有患者切口Ⅰ期愈合，均获随访，时间为6～30个月，平均18.7个月。均达骨性愈合，临床愈合时间2.6～3.8个月，平均3.2个月。按Kaikkonen功能评分，优5例，良10例，可3例，差1例。
结论：闭合复位、空心加压螺钉和克氏针联合内固定治疗内踝骨折微创、恢复快及费用少。 |
| 【关键词】踝关节 骨折 外科手术,微创性 功能恢复 |
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| Treatment of medial malleolus fractures with closed reduction and percutaneous internal fixation |
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ABSTRACT
Objective: To study clinical effects of minimally invasive,effective and economic operational method for the treatment of medial malleolus fractures.
Methods: From March 2008 to August 2010,19 patients(12 males and 7 females,ranging in age from 17 to 42 years,averaged 31.7 years)with medial malleolus fractures were reviewed. Closed reduction and percutaneous internal fixation were applied,with a hollow compression screw inserted at the centre and perpendicularly to the fracture surface. A Kirschner wire was inserted through the cortical bone of opposite side and in accordance with the axis of inner malleolus. Postoperative therapeutic effect was evaluated by Kaikkonen sprained ankle scoring system and imageology examination.
Results: All the patients got primary healing of incisions and were followed up,the duration ranged from 6 to 30 months,with an average of 18.7 months. All the patients obtained bone union. Clinical healing time ranged from 2.6 to 3.8 months,averaged 3.2 months. According to Kaikkonen scoring system,the results were rated as excellent in 5 cases,good in 10 cases,moderate in 3 cases,and poor in 1 case.
Conclusion: It is a minimally invasive,effective and economic method to treat medial malleolus fractures by closed reduction and percutaneous internal fixation with hollow compression screw and Kirschner wire. |
| KEY WORDS Ankle joint Fractures Surgical procedures,minimally invasive Recovery of function |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 杜浩,田笑笑,李同森,储建军,熊明月,王俊生,许九生.闭合复位经皮微创内固定治疗内踝骨折[J].中国骨伤,2011,24(9):788~790 |
| 英文格式: | DU Hao,TIAN Xiao-xiao,LI Tong-sen,CHU Jian-jun,XIONG Ming-yue,WANG Jun-sheng,XU Jiu-sheng.Treatment of medial malleolus fractures with closed reduction and percutaneous internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(9):788~790 |
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