| Dupuytren骨折的诊断和治疗 |
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Received:January 24, 2005
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| 作者 | Author | 单位 | Unit | E-Mail |
| 李高舜 |
LI Gao-shun |
温岭市第三人民医院骨科,浙江温岭317523 |
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wlligs2002@yahoo.com.cn |
| 杨迪生 |
YANG Di-sheng |
浙江大学医学院附属第二医院骨科,浙江杭州310009 |
Department of Orthopaedics,the Second Affiliated Hospital,the Medical College of Zhejiang University,Hangzhou 310009,Zhejiang,China |
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| 叶招明 |
YE Zhao-ming |
浙江大学医学院附属第二医院骨科,浙江杭州310009 |
Department of Orthopaedics,the Second Affiliated Hospital,the Medical College of Zhejiang University,Hangzhou 310009,Zhejiang,China |
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| 期刊信息：《中国骨伤》2006年19卷，第4期，第196-198页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨Dupuytren骨折的诊断和治疗。
方法:20例患者中男14例,女6例;平均年龄32.8岁（19~65岁）。左踝12例,右踝8例。扭伤14例,坠落伤3例,车祸伤3例。开放伤5例,闭合伤15例。明确诊断时间:2h内13例,3d内5例,7d内2例。13例通过踝关节正侧位X线片确诊,5例在加摄小腿全长正侧位X线片后确诊,2例在行双踝外翻应力X线片对照检查后确诊。20例确诊患者均行腓骨解剖复位半管形钢板内固定,10例伴内踝骨折者在内踝复位后用松质骨螺钉或张力带固定,14例固定下胫腓联合。
结果:通过对17例患者进行了1.3~6年（平均3.1年）的随访,根据Meyer和Kumler的踝关节功能评价标准,17例中优10例,良4例,一般2例,差1例（此例患者在2个月后踝关节正侧位X线片显示内踝踝穴增宽）。
结论:对于Dupuytren骨折,早期准确的诊断和正确的外科治疗是恢复踝关节良好功能的关键。 |
| [关键词]:Dupuytren骨折 下胫腓联合 骨折固定术,内 |
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| Diagnosis and treatment of Dupuytren fracture |
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Abstract:
Objective:To study the diagnosis and treatment of Dupuytren fracture.
Methods:There were 20 patients(14 male,6 female)with an average age of 32.8 years (range from 19-65 years).Left ankle 12 cases and right ankle 8 cases;strain in 14 cases,falling injury in 3,traffic accident in 3;open injury in 5 and close injury in 15.The time from injury to diagnosis:13 cases in 2 hours,5 in 3 days,2 in 7 days.13 cases were diagnosed by anterior and lateral X-ray,5 cases were diagnosed by full tibiofibular anterior and lateral X-ray, 2 cases were diagnosed by contrast the bimalleolar stressing X-ray.All patients were treated with fibula open reducted anatomically and fixed by 1/3 tubular plate.10 cases with internal malleolar fracture were fixed by lag screw or tension band after reduction,the syndesmosis in 14 cases were fixed.
Results:17 cases were followed-up from 1.3 to 6 years with an average of 3.1 years.The clinical effect were evaluated according to the criteria of Meyer and Kumler,the excellent in 10 cases,good in 4,fair in 2,poor in 1(after 2 months,the patient’s ankle cave were lenient in anterior and lateral X-ray).
Conclusion:Earlier,accurate diagnosis and surgical treatment for Dupuytren fracture is the key to recovery function of ankle joint. |
| KEYWORDS:Dupuytren fracture Distal tibiofibular syndesmosis Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李高舜,杨迪生,叶招明.Dupuytren骨折的诊断和治疗[J].中国骨伤,2006,19(4):196~198 |
| 英文格式: | LI Gao-shun,YANG Di-sheng,YE Zhao-ming.Diagnosis and treatment of Dupuytren fracture[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(4):196~198 |
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