踝关节后侧入路结合后侧腓骨钢板治疗踝关节骨折脱位

Ankle Posterior Approach Combined with Posterior Fibular Plate in the Treatment of Ankle Fracture Dislocation

目的研究分析踝关节后侧入路结合后侧腓骨钢板治疗踝关节骨折脱位临床疗效。方法选取该院收治的20例踝关节骨折脱位患者为研究对象,进行踝关节后侧入路结合后侧腓骨钢板治疗,经过踝关节后侧入路,显露固定后踝骨折与外踝骨折,并分析研究患者临床资料,评价手术后踝关节治疗效果情况,观察术后并发症情况。结果经过手术后,进行随访,并未发现患者出现皮肤坏死及切口感染,1例患者发生腓骨肌腱炎,所占比例为5.0%,取出后侧腓骨钢板后,患者相关临床症状得到缓解。24周内,20例踝关节骨折脱位患者均骨折愈合。应用踝关节评分对患者的踝关节功能进行评价后可得,20例患者中,1例患者效果为可,5例患者为良,14例患者为优,优良率为95.0%,效果理想。结论踝关节后侧入路结合后侧腓骨钢板治疗踝关节骨折脱位治疗效果较为理想,固定强度较高,可承受相关功能训练,降低发生皮肤坏死和感染概率,安全性高,具有临床推广的意义。

Objective To study the ankle joint posterior approach combined with the clinical curative effect of fracture and dislocation of posterior fibula plate in the treatment of ankle joint. Methods Select our hospital 20 cases of ankle joint fracture dislocation patients as the research object, the ankle joint posterior approach treatment combined with posterior fibula plate, after ankle joint posterior approach, revealed after fixation ankle fracture and lateral malleolus fracture, and analysis of clinical data of patients, treatment effect evaluation of ankle surgery, postoperative The complications after operation. Results After the operation, were not found in patients with skin necrosis and wound infection, 1 cases of patients with peroneal tendinitis, accounted for 5.0%, remove the posterior fibula plate after clinical symptoms in patients with remission within.24 weeks, 20 patients were fracture dislocation of ankle joint fracture. The ankle score to evaluate the ankle joint function of patients after, 20 patients, 1 patients for 5 patients, 14 patients were good, excellent, excellent and good rate was 95.0%, the effect is ideal. Conclusion Ankle joint posterior approach combined with posterior fibula plate Treatment of ankle fracture and dislocation treatment effect is more ideal, fixed strength higher, can bear the relevant function training, reduce the incidence of skin necrosis and infection, high safety, with clinical significance