| 中空螺钉固定加带线铆钉修复治疗第5跖骨基底部骨折合并踝关节外侧副韧带Ⅲ度损伤 |
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Received:September 25, 2012
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| 作者 | Author | 单位 | Unit | E-Mail |
| 胡联英 |
HU Lian-ying |
合肥市第二人民医院骨科, 安徽 合肥 230011 |
Department of Orthopaedics, the Second People's Hospital of Hefei, Hefei 230011, Anhui, China |
huliany8007@sina.com |
| 贾其余 |
JIA Qi-yu |
合肥市第二人民医院骨科, 安徽 合肥 230011 |
Department of Orthopaedics, the Second People's Hospital of Hefei, Hefei 230011, Anhui, China |
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| 郑曙翘 |
ZHENG Shu-qiao |
合肥市第二人民医院骨科, 安徽 合肥 230011 |
Department of Orthopaedics, the Second People's Hospital of Hefei, Hefei 230011, Anhui, China |
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| 曹溢 |
CAO Yi |
合肥市第二人民医院骨科, 安徽 合肥 230011 |
Department of Orthopaedics, the Second People's Hospital of Hefei, Hefei 230011, Anhui, China |
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| 期刊信息：《中国骨伤》2013年26卷，第7期，第608-611页 |
| DOI：10.3969/j.issn.1003-0034.2013.07.019 |
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目的: 观察第5跖骨基底部骨折合并踝关节外侧副韧带Ⅲ度损伤手术治疗的临床疗效。
方法: 自2008年1月至2011年12月,对32例第5跖骨基底部骨折合并踝关节外侧副韧带Ⅲ度损伤的患者进行手术治疗,其中第5跖骨基底部骨折采用切开复位中空螺钉固定,外侧副韧带损伤采用带线铆钉在韧带附着点予以固定修补治疗,术后均予石膏托固定踝关节于90°背伸轻度外翻位,2周拆线并扶双拐带石膏托下地不负重行走,6周后去除石膏,支具保护下部分负重行走2周,8周后完全负重。术后参照美国足与踝关节协会(AOFAS)踝与后足的功能评分标准进行疗效评定。
结果: 32例均获随访,时间8～18 个月,平均12个月,全部病例跖骨骨折获得骨性愈合,平均愈合时间12.5周(8～24周).参照AOFAS踝与后足的功能评分标准进行评定,优18例,良14例。
结论: 利用中空螺钉固定加带线铆钉修复能获得较好的功能恢复,是一种较为理想的治疗第5跖骨基底部骨折合并踝关节外侧副韧带Ⅲ度损伤的方法。 |
| [关键词]:跖骨 骨折 踝关节 外侧韧带,踝 骨折固定术 |
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| Treatment of fracture of the fifth metatarsal base and degreeⅢ lateral ligament injury of ankle with compressed canulated screw and suture anchors |
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Abstract:
Objective: To investigate the clinical outcomes of surgical treatment of fracture of the fifth metatarsal base combined with degreeⅢlateral ligament injury of ankle.
Methods: From January 2008 to December 2011,32 patients with fracture of the fifth metatarsal base combined with degreeⅢlateral ligament injury of ankle were treated with surgery. Fractures were fixed with compressed canulated screw and ligaments were repaired with suture anchors. After operation,ankle joints were fixed in neutral position and slightly valgus position by plaster slab. Taking out stitch was performed at 2 weeks after operation and non-weight loading walking by double crutches support started;after the 6 weeks,remove the gypsum and part-weight loading walking by brace protection;at the 8 weeks after operation,completely weight loading walking was permitted. American Orthopaedic Foot and Ankle Society (AOFAS) was used to evaluate the clinical effect.
Results: Thirty-two patients were followed up from 8 to 18 months with an average of 12 months. All fractures obtained healing with an average time of 12.5 weeks (ranged,8 to 24 weeks). According to the standard of AOFAS,18 cases got excellent results and 14 good.
Conclusion: The method that fracture fixation with compressed canulated screw and ligament repair with suture anchors can obtain satisfactory effects in treating fracture of the fifth metatarsal base and degreeⅢlateral ligament injury of ankle. |
| KEYWORDS:Metatarsal bones Fractures Ankle joint Lateral ligament,ankle Fracture fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 胡联英,贾其余,郑曙翘,曹溢.中空螺钉固定加带线铆钉修复治疗第5跖骨基底部骨折合并踝关节外侧副韧带Ⅲ度损伤[J].中国骨伤,2013,26(7):608~611 |
| 英文格式: | HU Lian-ying,JIA Qi-yu,ZHENG Shu-qiao,CAO Yi.Treatment of fracture of the fifth metatarsal base and degreeⅢ lateral ligament injury of ankle with compressed canulated screw and suture anchors[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(7):608~611 |
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