期刊文献+

经踝关节后外侧入路治疗三踝骨折 被引量:37

Treatment of trimalleolar factures through posterolateral transmaUeolar approach
原文传递
导出
摘要 目的评价行腓骨后外侧入路治疗三踝骨折尤其是后踝骨折的临床疗效。方法回顾性分析2006年7月-2011年7月采用踝关节后外侧入路治疗32例三踝骨折患者的临床资料,其中Lauge—Hansen旋后外旋型Ⅳ度22例,旋前外旋型Ⅳ度10例,均采用切开复位内固定手术治疗。结果术后通过12—18个月(平均15.5个月)的随访,所有患者均达到骨性愈合。根据美国足踝外科学会(American Orthopaedic Foot & Ankle Society,AOFAS)问卷调查,平均得分为90.75分,结果为优。根据Kellgren创伤性关节炎分级:0级8例,I级18例,Ⅱ级5例,Ⅲ级1例,疗效满意。结论采用腓骨后外侧入路治疗三踝骨折,可以直接对后踝骨折进行复位与固定,疗效满意,值得临床应用。 Objective To evaluate the outcome of posterolateral approach to the fibula for trimalleolar fractures, especially the fracture in posterior malleolus. Methods Thirty-two patients with trimalleolar fractures treated via posterolateral transmalleolar approach from July 2006 to July 2011 were analyzed retrospectively. All underwent open reduction and internal fixation, including 22 Lauge-Hansen grade IV supination-external rotation ankle fractures and 10 Lauge-Hansen grade IV pronation-external rotation ankle fractures. Results All fractures had bone union after the follow-up of average 15.5 months (range, 12-18 months). Average American Orthopedic Foot & Ankle Society (AOFAS) score was 90.75 points, suggesting an excellent result. Kellgren grading system for posttraumatic arthritis severity was grade 0 in eight patients, grade Ⅰ in 18, grade Ⅱ in five, and grade In in one, which turned out to be satisfactory. Conclusions Posterolateral approach to the fibula for trimalleolar fractures allows direct reduction and fixation of posterior malleolus fragment in treatment of trimalleolar faetures and the clinical outcome is satisfactory. Moreover, the approach deserves clinical practice.
出处 《中华创伤杂志》 CAS CSCD 北大核心 2013年第6期536-540,共5页 Chinese Journal of Trauma
关键词 踝损伤 骨折固定术 外固定器 后外侧入路 Ankle injuries Fracture fixation, internal External fixators Posterolateralapproach
  • 引文网络
  • 相关文献

参考文献15

  • 1张铁良.踝关节骨折[J].中华骨科杂志,2004,24(1):58-62. 被引量:115
  • 2Koval KJ, Lurie J, Zhou W, et al. Ankle fractures in the elderly: what you get depends on where you live and who you see. J Orthop Trauma, 2005, 19(9) :635 -639.
  • 3赵虬,王沛,马信龙.旋前、后外旋型三踝骨折的手术治疗[J].中华骨科杂志,2004,24(1):3-6. 被引量:75
  • 4Talbot M, Steenblock TR, Cole PA. Posterolateral approach fur open reduction and internal fixation of trimalleolar ankle fractures. Can J Surg, 2005, 48(6) :487 -490.
  • 5McKinley TO, Rudert MJ, Tochigi Y, et al. Incongruity - de- pendent changes of contact stress rates in human cadaveric ankles. J Orthop Trauma, 2006, 20(10) :732 -738.
  • 6Warner WC, Farber LA. Tfimalleolar fractures. South Med J, 1965,58(10) :1292 - 1295.
  • 7Harold BK, Ian JA, Robert SA, et al. AOFAS clinical rating sys- tem. American Orthopaedic Foot and Ankle Society Foot & Ankle International, 1994, 15 (7) : 1 - 9.
  • 8Kellgren JH, Lawrence JS. Radiographic assessment of osteoarthrl- tis. Ann Rheum Dis, 1957, 16(4) :494 -502.
  • 9Brown TD, Johnston RC, Sahzman CL, et al. Posttraumatie osteo- arthritis: a first estimate of incidence, prevalence, and burden of disease. J Orthop Trauma, 2006, 20(10) :739 -744.
  • 10张银光,贾健,刘兆杰.Maisonneuve 骨折诊治的临床特点[J].中华骨科杂志,2011,31(7):739-743. 被引量:20

二级参考文献14

  • 1布郎纳(美) 主编.骨创伤:第2版(英文影印版)[M].北京:科学出版社,2001.2327-2404.
  • 2Hensel KS, Harpstrite JK. Maisonneuve fracture associated with a bimalleolar ankle fracture-dislocation: a case report. J Orthop Trauma, 2002, 16(7): 525-528.
  • 3Sproule JA, Khalid M, O'Sullivan M, et al. Outcome after surgery for Maisonneuve fracture of the fibula. Injury, 2004, 35(8):791- 798.
  • 4Baird RA, Jackson ST. Fractures of the distal part of the fibula with assoeiated disruption of the deltoid ligament. Treatment without repair of the deltoid ligament. J Bone Joint Surg Am, 1987, 69(9): 1346-1352.
  • 5Kakel R. Maisonneuve Fracture Sometimes Needs Stress View. J Emerg Med, 2010 Feb 27.
  • 6Manyi W, Guowei R, Shengsong Y, et al. A sample of Chinese literature MRI diagnosis of interosseous membrane injury in Maisonneuve fraetures of the fibula. Injury, 2000, 31 Suppl 3: C107-110.
  • 7McBryde A, Chiasson B, Wilhehn A, et al. Syndesmotic screw placement: a biomechanical analysis. Foot Ankle Int, 1997, 18(5): 262-266.
  • 8Miller SD, Carls RJ. The bioresorbable syndesmotic screw: appli- cation of polymer technology in ankle fractures. Am J Orthop (Belle Mead NJ), 2002, 310 Suppl):lS-21.
  • 9Moore JA Jr, Shank JR, Morgan SJ, et al. Syndesmosis fixation: a comparison of three and four cortices of screw fixation without hardware removal. Foot Ankle Int, 2006, 27(8): 567-572.
  • 10Maisonneuve MJ. Recherches sur la fracture du perone. Arch Gen Med, 1840, 7(S3):165-187, 433-473.

共引文献193

同被引文献269

引证文献37

二级引证文献283

;
使用帮助 返回顶部