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漂浮体位下后外侧、后内侧双切口入路手术治疗Klammer Ⅱ、Ⅲ型后Pilon骨折 被引量:26

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摘要 目的观察漂浮体位下通过后外侧、后内侧双切口入路手术治疗Klammer Ⅱ、Ⅲ型后Pilon骨折的临床疗效。方法回顾性研究自2013-01—2018-01采用漂浮体位通过后外侧、后内侧双切口入路手术治疗Klammer Ⅱ、Ⅲ型后Pilon骨折12例的临床资料。结果所有患者术后获12.5(8~24)个月的随访,切口均一期愈合,无血管神经损伤、伤口感染等并发症发生。术后X线片、CT显示胫距关节面复位满意,踝穴对称,内固定位置良好。末次随访踝关节功能按美国足踝外科协会(AOFAS)踝-后足评分量表评价:优7例,良3例,可2例,平均87.5分。结论漂浮体位下后外侧、后内侧双切口入路手术治疗Klammer Ⅱ、Ⅲ型后Pilon骨折可清晰显露骨折端,直视下准确复位关节面、牢固固定骨折,内固定物生物力学优势好,配合术后早期踝关节主、被动屈伸功能锻炼及良好围手术期镇痛,可以取得满意的效果。
出处 《中国骨与关节损伤杂志》 2019年第4期410-412,共3页 Chinese Journal of Bone and Joint Injury
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