| 伴有Tillaux-Chaput骨折块的成人踝关节骨折的手术治疗 |
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投稿时间：2020-08-25
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| 作者 | Author | 单位 | Address | E-Mail |
| 魏新锁 |
WEI Xin-suo |
西安医学院第一附属医院骨科, 陕西 西安 710077 |
Department of Orthopaedics, the First Affiliated Hospital of Xi'an Medical College, Xi'an 710077, Shaanxi, China |
460926168@qq.com |
| 杨彪 |
YANG Biao |
西安医学院第一附属医院骨科, 陕西 西安 710077 |
Department of Orthopaedics, the First Affiliated Hospital of Xi'an Medical College, Xi'an 710077, Shaanxi, China |
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| 郭书章 |
GUO Shu-zhang |
西安医学院第一附属医院骨科, 陕西 西安 710077 |
Department of Orthopaedics, the First Affiliated Hospital of Xi'an Medical College, Xi'an 710077, Shaanxi, China |
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| 期刊信息：《中国骨伤》2021年，第34卷，第9期，第861-865页 |
| DOI：10.12200/j.issn.1003-0034.2021.09.014 |
| 基金项目: |
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中文摘要:
目的：探讨手术治疗伴有Tillaux-Chaput骨折块的成人踝关节骨折的临床疗效。
方法：2014年1月至2018年12月采用手术治疗15例伴有Tillaux-Chaput骨折块的成人踝关节骨折患者，其中男9例，女6例；年龄27~67（45.6±14.3）岁；左侧8例，右侧7例。观察患者骨折愈合及并发症情况，采用美国足踝外科协会（American Orthopaedic Foot and Ankle Society，AOFAS）踝与后足评分标准评价踝关节功能恢复情况。
结果：15例患者均获随访，时间18~70（38.1±9.9）个月。所有切口Ⅰ期愈合。X线片复查示骨折愈合良好，无内固定物松动、断裂等并发症发生。2例患者有腓浅神经损伤症状，经营养神经治疗后逐步恢复；3例患者踝关节屈伸活动轻度受限。末次随访AOFAS评分（85.6±7.9）分，其中优9例，良4例，可2例。
结论：齿状钢板固定Tillaux-Chaput骨折块，操作方便，固定牢靠，有利于踝关节功能恢复。下胫腓联合无须常规使用螺钉固定。 |
| 【关键词】Tillaux-Chaput骨折 踝关节骨折 手术治疗 |
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| Surgical treatment for adult ankle fracture with Tillaux-Chaput fracture block |
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ABSTRACT
Objective: To explore clinical effect of adult ankle fracture with Tillaux-Chaput fracture block.
Methods: From January 2014 to December 2018,15 patients with adult ankle fracture with Tillaux-Chaput fracture block were performed opertaion,including 9 males and 6 females,aged from 27 to 67 years old with an average of (45.6±14.3) years old,8 patients on the left side and 7 patients on the right side. Fracture healing and complications were observed,American Orthopaedic Foot and Ankle Society(AOFAS) was used to evaluate recovery of ankle joint function.
Results: All patients were followed up for 18 to 70 months with an average of (38.1±9.9) months. The incisions healed well at stageⅠ. X-ray reexamination showed all fractures healed well without loosening or breakage of internal fixation. Two patients had symptoms of superficial peroneal nerve injury and recovered gradually after nerve nourishing therapy. Three patients mainfested slightly limits of flexion and extension of ankle joint. AOFAS score of ankle and hind foot at the latest follow up was (85.6±7.9),9 patients got excellent results,4 good and 2 fair.
Conclusion: Fix Tillaux-Chaput fracture block with dentate steel plate has advantages of easy operation,stable fixation,and is beneficial to recovery of ankle function. It is not necessary to fix tibiofibular syndesmosis with screws. |
| KEY WORDS Tillaux-Chaput fracture Ankle fracture Surgical 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: | 魏新锁,杨彪,郭书章.伴有Tillaux-Chaput骨折块的成人踝关节骨折的手术治疗[J].中国骨伤,2021,34(9):861~865 |
| 英文格式: | WEI Xin-suo,YANG Biao,GUO Shu-zhang.Surgical treatment for adult ankle fracture with Tillaux-Chaput fracture block[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(9):861~865 |
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