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后外侧联合内侧手术切口治疗三踝骨折的疗效分析 被引量:11

Treatment Outcome of Trimalleolar Fractures through Posterolateral Transmalleolar Approach
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摘要 目的:探讨后外侧联合内侧入路手术治疗三踝骨折的临床疗效。方法:回顾性分析2006年5月-2012年11月因三踝骨折来本院治疗者43例,手术均采用后外侧联合内侧入路切开复位钢板螺钉内固定,骨折端均未植骨。分析患者骨折愈合情况、内固定稳定性和美国足踝外科AOFAS评分。结果:所有患者均获得随访,随访时间10-21个月,平均15个月;所有患者均获得骨性愈合,愈合时间11-18周,平均13周;术后1例患者出现皮肤愈合不良、1例切口感染,保守治疗后好转,无内固定松动断裂等并发症;踝关节功能AOFAS评分(92.2±5.4)分。结论:采用后外侧联合内侧入路手术治疗三踝骨折,可以使踝关节尽量获得解剖复位,有利于早期功能锻炼,避免后期创伤性关节炎。 Objective: To evaluate the surgical treatment outcome of posterolateral approach to the fibula for trimalleolar fractures. Method: 43 patients suffered from the trimalleolar fracture were treated with internal fixation via posterolateral transmalleolar approach from May 2006 to Nov 2012, no bone graft was used to promote healing. All patients were assessed with the healing of fracture, instability, walking ability, radiological manifestations, and the American Orthopaedic Foot and Ankle Society score(AOFAS). Result: The follow-up period varied from 10-21 months with an average of 15 months, all fractures had bone union, time to bone union varied from 11-18 weeks with an average of 13 weeks. There was one skin healing problem, and one facial infection, no malnunion, nonunion of the fractures or the deformity of the ankle. The American Orthopaedic Foot and Ankle Society score was(92.2±5.4), suggesting an excellent result. Conclusion: posterolateral approach to the fibula for trimalleolar fractures allows direct reduction and fixation of the bone fracture fragments, ensure anatomical joint restoration, good for early functional exercise, and avoid the appearance of traumatic arthritis.
出处 《中国医学创新》 CAS 2015年第1期141-144,共4页 Medical Innovation of China
关键词 三踝骨折 后外侧联合内侧入路手术 Trimalleolar fractures Posterolateral transmalleolar approach
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