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改良1/3管形钢板结合拉力螺钉治疗老年 踝关节骨折
Hits: 2425   Download times: 1249   Received:May 20, 2010    
作者Author单位UnitE-Mail
贾晋辉 JIA Jin-hui 江苏省中西医结合医院骨科, 江苏 南京 210028 Department of Orthopaedics, the Integrative Medicine of Jiangsu Province, Nanjing 210028, Jiangsu, China zxjiajinhui@126.com 
谢林 XIE Lin 江苏省中西医结合医院骨科, 江苏 南京 210028 Department of Orthopaedics, the Integrative Medicine of Jiangsu Province, Nanjing 210028, Jiangsu, China  
洪友松 HONG You-song 江苏省中西医结合医院骨科, 江苏 南京 210028 Department of Orthopaedics, the Integrative Medicine of Jiangsu Province, Nanjing 210028, Jiangsu, China  
王庚启 WANG Geng-qi 江苏省中西医结合医院骨科, 江苏 南京 210028 Department of Orthopaedics, the Integrative Medicine of Jiangsu Province, Nanjing 210028, Jiangsu, China  
康然 KANG Ran 江苏省中西医结合医院骨科, 江苏 南京 210028 Department of Orthopaedics, the Integrative Medicine of Jiangsu Province, Nanjing 210028, Jiangsu, China  
期刊信息:《中国骨伤》2010年23卷,第12期,第936-937页
DOI:10.3969/j.issn.1003-0034.2010.12.016


目的:研究治疗老年A、B型踝关节骨折的一种手术器械的临床效果。

方法:2007年10月至2009年5月采用改良的1/3管形钢板结合拉力螺钉治疗老年踝关节骨折14例,男9例,女5例;年龄58~81岁,平均69.3岁。按Danis-Weber分类:A型6例,B型8例。采用AOFAS评分标准进行疗效评价,总结该方法的可行性。

结果:本组14例术后全部随访,骨折全部愈合,随访时间12~18个月,骨折愈合时间10~16周。术后根据AOFAS评分标准,总平均分(88.0±2.1)分。

结论:根据每例患者的情况因人因病制宜,采用外踝改良1/3管形钢板内固定是治疗老年A、B 型踝关节骨折的良好选择之一。
[关键词]:踝关节  骨折固定术,内  骨折  老年人
 
Modified 1/3 tubular plate and lag screw for the treatment of ankle fractures in elderly patients
Abstract:

Objective: To study a kind of surgical instrument for the treatment of ankle fractures in elderly patients.

Methods: From October 2007 to May 2009,14 patients(9 males and 5 females,ranging in age from 58 to 81 years,averaged 69.3 years) with ankle joint fractures of type A and B were treated with modified 1/3 tubular plate combined with lag screws. According to the Danis-Weber classification,6 patients were type A and 8 patients were type B. The AOFAS criteria was used to evaluate clinical effects.

Results: All the patients were followed up ranged from 12 to 18 months and healed. The time of union of fractures ranged from 10 to 16 weeks. According to the clinical assess standard of AOFAS,the average score was 88.0±2.1.

Conclusion: It is one of good choices to use modified 1/3 tubular plate and lag screws to treat ankle joint fractures in elder patients.
KEYWORDS:Ankle joint  Fracture fixation, internal  Fractures  Aged
 
引用本文,请按以下格式著录参考文献:
中文格式:贾晋辉,谢林,洪友松,王庚启,康然.改良1/3管形钢板结合拉力螺钉治疗老年 踝关节骨折[J].中国骨伤,2010,23(12):936~937
英文格式:JIA Jin-hui,XIE Lin,HONG You-song,WANG Geng-qi,KANG Ran.Modified 1/3 tubular plate and lag screw for the treatment of ankle fractures in elderly patients[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(12):936~937
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