【摘要】：目的:探討漂浮體位下后外側(cè)聯(lián)合前內(nèi)側(cè)入路治療三踝骨折的手術(shù)方法及療效。方法:對21例三踝關(guān)節(jié)骨折患者采用漂浮體位下后外側(cè)入路治療外踝后踝骨折、前內(nèi)側(cè)入路治療內(nèi)踝骨折,對治療效果進行評價。結(jié)果:21例患者中除1例切口感染經(jīng)擴創(chuàng)換藥后愈合外,其他患者切口均甲級愈合。21例術(shù)后隨訪4~20個月,平均14個月,骨折均獲得愈合,未發(fā)生鋼板螺釘松動、斷裂。根據(jù)美國足與踝關(guān)節(jié)協(xié)會踝與后足功能(AOFAS)評分標準,21例患者中優(yōu)12例、良5例、可4例,優(yōu)良率為80.95%。結(jié)論:采用漂浮體位下內(nèi)外側(cè)聯(lián)合入路治療三踝骨折,便于踝關(guān)節(jié)內(nèi)、外、后側(cè)骨折的暴露,特別有利于兼顧后踝與內(nèi)踝的直視下解剖復位內(nèi)固定,值得臨床推廣。
[Abstract]:Objective: to explore the operative method and curative effect of lower posterolateral approach combined with anterior medial approach for trimalleolus fracture in floating position. Methods: 21 patients with trimalleolus fracture were treated with floating posterolateral approach and medial malleolus fracture by anterior-medial approach. The therapeutic effect was evaluated. Results: all the 21 patients were followed up for 4 months for 20 months (mean 14 months), except for 1 case of wound infection and wound healing after dressing change, and no loosening and breaking of plate and screw were found in all the 21 cases after operation. The fracture was followed up for 4 months (mean 14 months), and no loosening and fracture of plate and screw were found in all the 21 cases. According to the (AOFAS) score of ankle and hindfoot function of the American foot and ankle Association, 12 cases were excellent, 5 cases were good and 4 cases were fair, the excellent and good rate was 80.95%. Conclusion: it is convenient for the exposure of internal, external and posterior fractures of ankle to treat trimalleolus fracture by combined approach in floating position, which is especially beneficial to anatomic reduction and internal fixation of both posterior malleolus and medial malleolus under direct vision, which is worth popularizing in clinical practice.
【作者單位】： 南通大學第二附屬醫(yī)院骨科;
【分類號】：R687.3
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本文編號：2453100