摘要
目 的 探 讨 B、C 型 踝 关节 骨折 的 较佳 治疗 方 法。方 法 本 组 32 例 ,其 中 B 型骨 折 17 例,C 型 骨折 15 例 ,先 将 腓 骨 切开 复 位 AO 钢 板 内固 定 ,再 将 内 踝 骨折 切 开 复 位拉 力 螺 钉 内固 定 ,注意 联 合 韧 带 的 修 补 ,术后 早期 功 能锻 炼。 结 果 32 例 中 29 例 随访 4 个 月~4 年,疗效 优良 27 例 ,尚 可 2 例,无 一 例 疗效 差 。 结 论 B、C型 踝 关 节骨 折 均 需 手术 切 开 复 位,而 AO 钢 板加 螺 钉 固 定牢 固 ,有利 于 术 后 早 期功 能 锻 炼 ,有 利 于 踝 关 节 功 能 的恢 复。
Objective To study the treating method of type B and C fractures of ankle. Methods According to AO classification of ankle fractures, there were 17 cases of type B and 15 cases of type C in the total 32 cases. The fibular fractures were reduced and fixed with AO plate, and the distal tibial fractures were reduced and fixed with shaft screw; disrupted united ligament must be repaired. All patients were asked for early mobilization of ankle after operation. Results Twenty-nine of thirty-two patients had been followed-up for 4 months to 4 years, 27 patients had sa-tisfactory functional outcome, 2 patients had quite satisfactory outcome, no one had unsatisfactory outcome. Conclusion Operation and anatomical reduction are necessary for type B and C fractures of ankle. Using AO plate and screw is advantageous to rigid fixation, early exercise and recovery of ankle function.
出处
《中国药物与临床》
CAS
2004年第9期680-681,共2页
Chinese Remedies & Clinics