Philos钢板在踝关节融合术中的应用

The application of philos plate in ankle arthrodesis

目的 评价经外踝截骨philos钢板固定行踝关节融合术的手术方法和临床疗效.方法 对2010年1月~2011年6月收治的13例踝关节炎手术患者资料进行分析.结果 术后有2例患者出现伤口延迟愈合,经换药后愈合.所有患者获平均15个月随访.所有随访患者X片证实踝关节术后平均16周骨性愈合.末次随访时患者关节疼痛完全缓解,无内固定失败、融合失败等并发症发生.末次随访踝-后足评分为（82.4±7.8）分.与术前比较差异有统计学意义（t=25.021,P〈0.01）.结论 采用经外踝截骨philos钢板固定行踝关节融台术显露充分,融合率高,踝关节疼痛明显减轻,融合效果可靠.

Objective To evaluate the clinical outcome of ankle arthrodesis using lateral malleolus osteotomy and fixation wirth philos plate. Methods From Januray 2010 to June 2011,13 patients with ankle arthritis were threated by ankle arthodesis.Results 2 patients had delayed wound healing,healing after dressing change. All patients with an average of 15 months follow-up.The X-ray film conformed that bones healing at 16 weeks postopertion on average. At the end of the followed-up of patients with joint pain remission. No internal fixation failure,failure of fusion complications. The ankle-hindfoot scores in last followed-up was( 82. 4±7. 8) points. Compared with the preoperative,there were significant statistically differences( t = 25. 021,P<0. 01). Conclusion The operation of using lateral malleolus osteotomy and fixation wirth philos plate exposured well,had the high fusion rate,the ankle pain significantly reduced,and the fusion effect sould reliable.