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改良踝关节后外侧入路治疗三踝骨折 被引量:2

Modified Posterior-lateral Approach of Ankle in Treatment of Cotton Fracture
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摘要 目的:评价改良的踝关节后外侧入路在治疗三踝骨折中的效果方法:通过新鲜成人尸体标本的解剖了解该入路的解剖层次以及重要的血管神经结构;临床应用该入路治疗三踝骨折的病人,评价临床效果。结果:该手术入路对后踝及外踝显露充分,同时可向近端延伸显露腓骨,向下延伸显露踝关节后方。手术野中仅有小隐静脉和腓肠神经走行。临床治疗三踝骨折病人5例,后踝和内踝骨折均达到解剖复位,所有病人均获随访3个月-1年。无切口感染及皮肤坏死等并发症发生。骨折于术后16周内均达到骨性愈合。根据Baird-Jackson评分评价疗效:优4例,良1例。结论:改良的踝关节后外侧入路治疗三踝骨折具有显露充分,固定确实的优点,临床效果优良。 Objective: To evaluate the clinical effect of the modified posteriolateral approach in cotton fracture. Method: Anatomy research of the modified ankle posteriolateral approach and use the approach treat real cotton fracture patients. Results: The posteriolateral approach has good view of fractures of posterior malleolus and lateral malleolus and only the saphaneous vein and nerve should be protected, utilize the approach to treat 5 patients of cotton fracture, all has the anatomical reduction of the fractures and no complications happen, according to baird-jackson scoring system ,4 excellent and 1 fairly good. Conclusion: The modified posteriolateral approach of ankle might have good expose of posterior malleolus and lateral malleolus and utilize this approach to treat cetton fractures might have fairly good clinical effects.
出处 《中国伤残医学》 2007年第4期11-12,共2页 Chinese Journal of Trauma and Disability Medicine
关键词 改良 后外侧 三踝骨折 Modify Posterior-lateral Cotton frature
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参考文献3

  • 1[1]Geissler WB,Tsao AK,Hughes JL.Fracture and injuries of ankle.In:Rockwood CA,Greens DP,Bucholz RW,eds.Fractures in adults.4th ed.New York:Lippincott-Raven,1996.2201.
  • 2[2]Baird RA,Jackson ST.Fractures of the disal part of the fibula with associ2 ated disruption of the deltoid ligament:treatment without repair of the del2 toid ligament.J Bone Joint Surg (Am),1987,69:1346.
  • 3姜保国,傅中国,张殿英,王天兵,徐海林.手术治疗踝关节骨折的临床研究[J].中华创伤杂志,2003,19(7):398-400. 被引量:117

二级参考文献1

  • 1郑思竞.人体解剖学:第2版[M].北京:人民卫生出版社,1985..

共引文献116

同被引文献3

  • 1张士波,张露,郜玉忠,龚美茹,刘凯东.三踝骨折的新术式及疗效分析[J].中国骨与关节损伤杂志,2005,20(2):133-134. 被引量:22
  • 2Randall C,Mark S.What's new in foot and ankle surgery.J Bone Joint Surg Am,2008,90:928-942.
  • 3Baird R A,Jackson ST.Fractures of the distal part of the fibula with associated disruption of the deltoid ligament.Treatment without repair of the deltoid ligament[J].J Bone Joint Surg Am, 1987,69:1346-1352.

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