开放性踝关节骨折脱位的急诊内固定治疗体会

Experience of emergency internal fixation for open ankle fracture dislocation

目的 探讨开放性踝关节骨折脱位行急诊内固定治疗的临床效果。方法 对2018年5月至2020年12月泉州滨海医院收治的以开放性踝关节骨折脱位为主要临床表现且具有完整临床资料的23例病例进行回顾性分析。该组病例中男15例,女8例,年龄26~59岁,平均35.5岁,所有患者均进行了急诊内固定治疗。结果 23例开放性踝骨折脱位患者中22例伤口一期愈合,1例出现伤口边缘皮肤坏死,经换药后伤口愈合。术后随访6~18个月,平均9个月,美国足踝外科协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝-后足功能评分:优17例,良6例。结论 急诊内固定治疗开放性踝关节骨折脱位,符合加速康复外科理念,临床疗效满意。

Objective To investigate the clinical effect of emergency internal fixation for open ankle fracture dislocation.Methods From May 2018 to December 2020, 23 cases with open ankle fracture dislocation treated in Quanzhou Binhai Hospital were retrospectively analyzed. There were 15 males and 8 females in this group with an average age of 35.5 years(26 ~ 59 years). All patients underwent emergency internal fixation. Results 22 cases had primary healing of 23 patients with open ankle fracture dislocation, and 1 case had skin necrosis at the edge of the wound, and the wound healed after dressing change. The patients were followed up for 6 to 18 months, with an average of 9 months. According to the American Orthopaedic Foot and Ankle Society(AOFAS) ankle-hindfoot score: 17 cases were excellent and 6 were good. Conclusion Emergency internal fixation for the treatment of open ankle fracture dislocation is in line with the concept of enhanced recovery after surgery, and the clinical effect is satisfactory.