| 经腓骨前方外侧入路治疗GustiloⅢ型胫腓骨远端骨折 |
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Received:April 17, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 许桦 |
XU Hua |
萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
xxuoo365@yahoo.com.cn |
| 马海涛 |
MA Hai-tao |
萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 毕大卫 |
BI Da-wei |
萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 王辉 |
WANG Hui |
萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 朱元 |
ZHU Yuan |
萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 杨育生 |
YANG Yu-sheng |
萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 期刊信息：《中国骨伤》2012年25卷，第8期，第645-647页 |
| DOI：10.3969/j.issn.1003-0034.2012.08.007 |
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目的:探讨经腓骨前方外侧入路结合外固定架治疗GustiloⅢ型胫腓骨远端骨折的方法及其疗效。
方法:自2007年至2010年治疗9例GustiloⅢ型开放性胫腓骨远端骨折,男7例,女2例;年龄29～51岁,平均40岁。所有患者I期急诊清创后钢板内固定腓骨,外固定支架跨踝关节固定胫骨,待小腿内侧植皮成活后拆除外固定架,Ⅱ期采用I期腓骨切口经腓骨前方入路固定胫骨。早期行功能锻炼,观察骨折愈合及踝关节功能恢复情况。采用AOFAS踝-后足评分系统进行疗效评价。
结果:所有患者均获随访,时间8～37个月,平均21个月。9例患者均获得骨性愈合,平均愈合时间24周,均无钢板断裂及螺钉松动。根据AOFAS踝-后足评分系统,优3例,良4例,中2例。
结论:经腓骨前方外侧入路治疗GustiloⅢ型开放性胫腓骨远端骨折,复位质量高,可早期恢复踝关节功能,提高疗效。 |
| [关键词]:胫骨 腓骨 骨折 外科手术 |
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| Treatment of Gustilo Ⅲ distal tibiofibula fractures through trans-fibular anterior-lateral approach |
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Abstract:
Objective:To explore the methods and therapeutic effects of trans-fibular anterior-lateral approach combined with external fixation in the treatment of GustiloⅢ distal tibiofibula fractures.
Methods:From 2007 to 2010,9 patients including 7 males and 2 females with the mean age of 40 years(ranging from 29 to 51 years). All patients received internal fixation of fibula after debridement on the first phase,external fixator were used to fix tibia across ankle joint,and removed after successful skin graft;The second phase tibia was used to fix through the lateral incision used in phase I. Early functional exercise was encouraged,the union condition and functional results of the ankle joint was evealuated. The criteria of the AOFAS Foot and Ankle Surgery was used to evaluate the effects.
Results:All patients were followed up,and the duration ranged for 8 to 37 months(averaged 21 months). Nine patients were achieved bony union,the average healing time was 24 weeks. No plate rupture or screw loosening was found. According to the AOFAS Foot and Ankle Surgery evaluation system,3 cases got excellent results,4 good cases and 2 fair.
Conclusion:Trans-fibular anterior-lateral approach combined with external fixation for GustiloⅢ distal tibiofibula fractures can receive satisfactory reset,debond ankle joint eralier and imporove the clinical effects. |
| KEYWORDS:Tibial Fibula Fractures Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 许桦,马海涛,毕大卫,王辉,朱元,杨育生.经腓骨前方外侧入路治疗GustiloⅢ型胫腓骨远端骨折[J].中国骨伤,2012,25(8):645~647 |
| 英文格式: | XU Hua,MA Hai-tao,BI Da-wei,WANG Hui,ZHU Yuan,YANG Yu-sheng.Treatment of Gustilo Ⅲ distal tibiofibula fractures through trans-fibular anterior-lateral approach[J].zhongguo gu shang / China J Orthop Trauma ,2012,25(8):645~647 |
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