| 旋前型踝关节骨折、脱位的手术治疗 |
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Received:June 17, 2001
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| 期刊信息：《中国骨伤》2002年15卷，第6期，第337-339页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨旋前型踝关节骨折、脱位的手术方法及疗效。
方法:本组63例采用切开复位和坚强内固定,修复三角韧带,恢复踝关节内外侧结构的稳定性。下胫腓联合分离仍不稳定者,给予皮质骨螺钉横向内固定;后踝骨折块超过关节面25%者给予整复螺钉内固定。
结果:随访4个月～5年。按齐氏疗效评定标准:优良53例,可7例,差3例,优良率84%。
结论:强调骨折切开解剖复位、坚强内固定的同时,应充分重视修复三角韧带、下胫腓前韧带,以及恢复下胫腓联合的稳定。 |
| [关键词]:踝损伤 骨折固定术 骨折 脱位 |
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| Operative treatment of pronation fractures and dislocations of the ankle |
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Abstract:
Objective:To explore the operative Methods and curative effect of pronation fractures and dislocations of the ankle
Methods:All 63 cases were treated by open reduction and firm internal fixation,by repairing of the deltoid ligament and restoration of stability of medial and lateral structures of ankle joint.If separation of the tibio fibular joint was still unstable,transverse internal fixation was adopted with one cortical bone screw.In cases with posterior malleolus fractures with the injured articular surface of above 25%,open reduction and fixation was performed with screw.
Results:All cases were followed up from 4 months to 5 years,and were evaluated according to the criteria of QI Bin:the results showed excellent in 53,fair in 7 and poor in 3,the rate of excellent results was 84%.
Conclusion:The authors emphasized that,in order to obtain satisfactory result,open anatomical rеduction and rigid internal fixation must be adopted in the fractures,the deltoid ligament and anterior tibio fibular ligament and stability of distal tibio fibular joint should be treated properly. |
| KEYWORDS:Ankle injury Fracture fixation Fracture Dislocation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 方智敏,詹蓓蕾,何飞熊.旋前型踝关节骨折、脱位的手术治疗[J].中国骨伤,2002,15(6):337~339 |
| 英文格式: | FANG Zhi min,ZHAN Pei lei,HE Fei xiong..Operative treatment of pronation fractures and dislocations of the ankle[J].zhongguo gu shang / China J Orthop Trauma ,2002,15(6):337~339 |
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