负重X线侧位片在踝关节骨折畸形愈合复位评估中的价值

The Value of X-ray Radiography of Shoulder in the Reduction of Malunion of Ankle Fracture

目的分析踝关节骨折畸形愈合复位应用负重X线侧位片评估的临床效果。方法选取36例2014年5月—2016年5月在该院治疗的踝关节骨折畸形愈合患者,均实施重建手术治疗,比较患者手术前后负重X线测量结果。结果患者手术前、后的负重X线正位与踝穴位片MCX、TFCS以及TFOL比较,差异无统计学意义(P>0.05)。手术前、后负重X线侧位片的TLS、d值和x值比较,差异有统计学意义(P<0.05)。所有患者骨折均愈合,平均愈合时间(12.3±0.4)周,术后踝关节功能总优良率为100.0%。结论负重X线侧位片在踝关节复位判断中具有重要作用,可将其应用于踝关节骨折畸形愈合复位评估。

Objective To analyze the clinical effect of the reduction of malunion of ankle fracture with lateral radiograph.Methods 36 cases of ankle fracture malunion in our hospital from May 2014 to May 2016 were treated with reconstructive surgery,and the results of X ray measurement before and after operation were compared.Results There was no significant difference between the weight-bearing X-ray position of the patients before and after the operation and the MCX,TFCS and TFOL of the ankle acupoints(P>0.05).The TLS,d and x values of the weight-bearing X-ray lateral radiographs were significantly different(P<0.05) before and after the operation.All the fractures healed,the average healing time was(12.3±0.4) weeks,and the overall excellent and good rate of ankle function was 100%.Conclusion the Xray radiography of weight-bearing plays an important role in ankle joint reduction,and it can be used to evaluate The reduction of malunion of ankle fracture.