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外固定支架结合有限内固定治疗围踝关节复杂开放性骨折 被引量:3

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摘要 目的:探讨外固定支架结合有限内固定治疗围踝关节复杂开放性骨折的疗效。方法:2003年5月至2011年5月,采用外固定支架结合有限内固定治疗围踝关节复杂开放性骨折患者8例,其中男5例,女3例;年龄18~60岁,中位数38岁。观察随访骨折愈合情况及并发症发生情况,并采用Baird-Jackson踝关节功能评分标准评定疗效。结果:所有患者均获随访,随访时间6~24个月,中位数15个月。骨折均愈合,愈合时间10~16周,中位数13周。7例患者未出现感染等并发症;1例距骨复位有限内固定患者创口Ⅰ期愈合,其余7例患者创口均Ⅱ期愈合。1例丢弃离体部分距骨进行胫跟关节融合术患者,术后5 d创面感染,采用转移皮瓣移植修复,1年后复查融合效果欠佳。Baird-Jackson踝关节功能评分,本组优5例,良2例,差1例。结论:对于围踝关节复杂开放性骨折患者,恰当地选择手术时机、灵活运用固定方式、尽量修复受损软组织、合理利用离体骨块,可以有效降低并发症的发生率,提高手术成功几率,促进患肢功能恢复。
出处 《中医正骨》 2012年第9期41-43,46,共4页 The Journal of Traditional Chinese Orthopedics and Traumatology
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