本文選題：三踝 + 骨折�。� 參考：《青島大學》2017年碩士論文

【摘要】：目的:為了提高三踝骨折手術(shù)治療的優(yōu)良率,對兩種不同的手術(shù)復位固定順序(即外踝-后踝-內(nèi)踝與后踝-外踝-內(nèi)踝)的療效進行對比分析,以期望今后對該類骨折手術(shù)治療的過程中能夠更加合理的選擇復位固定順序提供實驗數(shù)據(jù)。從而提高三踝骨折手術(shù)治療的優(yōu)良率。方法:按踝關節(jié)骨折AO分類標準挑選30例三踝骨折病例,入選病例均來自骨科住院收治的踝關節(jié)骨折患者。其中女患者13人,男患者17人,分為Ⅰ、Ⅱ兩組,每組15例病人,隨機采用兩種不同的骨折復位順序。對Ⅰ組患者采用先后踝再外踝最后內(nèi)踝的顯露及內(nèi)固定順序,對Ⅱ組采用先外踝再后踝最后內(nèi)踝的順序。術(shù)中觀測每位患者的手術(shù)用時、手術(shù)中總出血量、手術(shù)中后踝的調(diào)整次數(shù)。術(shù)后記錄患者的在院時間和達到臨床愈合標準的時間。并于術(shù)后6個月后對全部30例患者進行逐一隨訪,并根據(jù)踝-后足評分標準對踝關節(jié)功能進行評分。評分依據(jù)為踝-后足評分標準,該評分標準由美國足踝外科協(xié)會制定結(jié)果:兩種復位順序在手術(shù)平均用時、后踝復位次數(shù)、術(shù)中出血量方面均有統(tǒng)計學差異(P0.05)。在住院時間、臨床愈合時間、踝后足功能評分方面無統(tǒng)計學差異(P0.05)。結(jié)論:后踝-外踝-內(nèi)踝的顯露復位固定順序與外踝-后踝-內(nèi)踝的顯露復位固定順序相比,能夠減少手術(shù)時間、后踝復位次數(shù)及術(shù)中出血量,但在住院時間、臨床愈合時間以及后期關節(jié)功能評分方面無明顯優(yōu)勢。
[Abstract]:Objective: to improve the excellent and good rate of surgical treatment of trimalleolar fractures, two different surgical reduction and fixation sequences (lateral malleolus posterior malleolus medial malleolus and posterior malleolus lateral malleolus medial malleolus) were compared and analyzed. In order to provide experimental data in order to select the reduction and fixation sequence more reasonably in the course of surgical treatment of this kind of fracture in the future. So as to improve the excellent and good rate of surgical treatment of trimalleolar fracture. Methods: according to AO classification of ankle fracture, 30 cases of trimalleolar fracture were selected. Among them, 13 female patients and 17 male patients were divided into two groups: group 鈪，

本文編號：2109297