| 微创与传统开放术式治疗HawkinsⅡ型距骨颈骨折的病例对照研究 |
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Received:July 31, 2010
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| 作者 | Author | 单位 | Unit | E-Mail |
| 廖维 |
LIAO Wei |
温州医学院附属第二医院骨科，浙江 温州 325027 |
Department of Orthopaedics,the 2nd Affiliated Hospital of Medical College of Wenzhou,Wenzhou 325027,Zhejiang,China |
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| 王志强 |
WANG Zhi-qiang |
温州医学院附属第二医院骨科，浙江 温州 325027 |
Department of Orthopaedics,the 2nd Affiliated Hospital of Medical College of Wenzhou,Wenzhou 325027,Zhejiang,China |
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| 辜兆昆 |
GU Zhao-kun |
浏阳市人民医院骨科 |
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| 赵顶云 |
ZHAO Ding-yun |
温州医学院附属第二医院骨科，浙江 温州 325027 |
Department of Orthopaedics,the 2nd Affiliated Hospital of Medical College of Wenzhou,Wenzhou 325027,Zhejiang,China |
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| 牟遐平 |
MOU Xia-ping |
温州医学院附属第二医院骨科，浙江 温州 325027 |
Department of Orthopaedics,the 2nd Affiliated Hospital of Medical College of Wenzhou,Wenzhou 325027,Zhejiang,China |
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| 杨雷 |
YANG Lei |
温州医学院附属第二医院骨科，浙江 温州 325027 |
Department of Orthopaedics,the 2nd Affiliated Hospital of Medical College of Wenzhou,Wenzhou 325027,Zhejiang,China |
wyey_yL@hotmail.com |
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| 期刊信息：《中国骨伤》2011年24卷，第2期，第137-140页 |
| DOI：10.3969/j.issn.1003-0034.2011.02.011 |
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目的：比较微创手术与传统术式治疗HawkinsⅡ型距骨颈骨折的临床疗效。
方法：2000年 2月至2008年2月，分别应用切开复位空心钛钉内固定和闭合复位经皮后外侧空心钛钉内固定治疗37例距骨颈骨折患者。传统术式组：男15例，女4例；年龄22～44岁，平均 (35.3±2.3)岁；微创组：男 16 例，女2例；年龄 20～47岁，平均 (35.2±3.1)岁。按 Hawkins 分型，均为Ⅱ型。比较两组病例的手术时间、术中出血量、手术切口长度及术后踝关节功能及影像学结果。
结果：37例均获随访，时间 2～10年，平均5.6年。手术时间、术中出血量、手术切口长度比较，微创组低于传统术式组。按AOFAS疗效标准评分：微创组高于传统组。
结论：微创方法较传统手术治疗HawkinsⅡ型距骨颈骨折能更好地保护距骨血运，提高治疗效果，可作为治疗HawkinsⅡ型距骨颈骨折的方法之一。 |
| [关键词]:距骨 骨折 外科手术，微创性 骨折固定术，内 病例对照研究 |
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| Case-control study on the treatment of Hawskins typeⅡfractures of talar neck with minimally invasive or traditional approach |
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Abstract:
Objective: To compare the differences of radiographical and functional outcomes between traditional and minimally invasive approach in treating Hawskins typeⅡfractures of the talar neck.
Methods: From February 2000 to February 2008,37 patients underwent reduction and internal fixation using two different approaches. In minimally invasive approach group,there were 16 males and 2 females,ranging in age from 20 to 47 years,averaged (35.2±3.1) years;and in traditional approach group,there were 15 males and 4 females,ranging in age from 22 to 44 years,averaged(35.3±2.3)years. All the patients had Hawskins typeⅡfractures. The following data were compared between two groups:operation time,blood loss,length of incision and function of ankle joint. All the patients were graded by Hawkins points-scoring system after operation.
Results: All patients were followed up. The duration ranged from 2 to 10 years,with an average of 5.6 years. The index such as operation time,blood loss and the length of incision of patients in minimally invasive approach group were significantly less than those of patients in traditional approach group. According to AOFAS points-scoring system,the score of minimally invasive group was higher than that of traditional approach group.
Conclusion: Compared with traditional approach,minimally invasive approach can protect blood supply better,get better clinical effects,which is worth of choosing to treat Hawskins typeⅡfractures of talar neck. |
| KEYWORDS:Talus Fractures Surgical procedures,minimally invasive Fracture fixation,internal Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 廖维,王志强,辜兆昆,赵顶云,牟遐平,杨雷.微创与传统开放术式治疗HawkinsⅡ型距骨颈骨折的病例对照研究[J].中国骨伤,2011,24(2):137~140 |
| 英文格式: | LIAO Wei,WANG Zhi-qiang,GU Zhao-kun,ZHAO Ding-yun,MOU Xia-ping,YANG Lei.Case-control study on the treatment of Hawskins typeⅡfractures of talar neck with minimally invasive or traditional approach[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(2):137~140 |
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