改良后内侧入路在治疗三踝骨折中的临床应用
《创伤外科杂志》[ISSN:/CN:]
- 期数:
- 2020年01期
- 页码:
- 56-58
- 栏目:
- 短篇论著
- 出版日期:
- 2020-01-22
文章信息/Info
- Title:
- Clinical application of modified posterior medial approach in the treatment of trigeminal fractures
- 文章编号:
- 1009-4237(2020)01-0056-03
- Author(s):
- YAO Peng-fei; LI Qiang; DONG Bin; CUI Hai-yong; XU Gao-wei; ZHANG Le; PENG Cheng; WANG Hao
- the First Affiliated Hospital of Anhui University of Science and Technology,Huainan First People's Hospital,Huainan,Anhui 232052,China
- 分类号:
- R 683.42
- DOI:
- 10.3969j.issn.1009-4237.2020.01.014
- 文献标识码:
- A
- 摘要:
- 目的 探讨改良后内侧入路治疗三踝骨折的临床疗效。方法 前瞻性研究淮南市第一人民医院创伤骨科2015年6月-2017年6月收治的三踝骨折患者21例,其中男性15例,女性6例; 年龄19～52岁,平均37.2岁。根据Lauge-Hansen分型:旋后外旋型16例,旋前外旋型3例,旋前外展型2例; 其中3例为开放性骨折(2例Gustilo Ⅰ型,1例Gustilo Ⅱ型)。均使用标准外踝切口固定外踝,采用改良后内侧入路固定内、后踝。记录患者手术时间、术中出血量以及术后并发症发生情况,术后均进行不少于6个月门诊随访,记录末次患者踝关节Baird-Jackson 评分。结果 所有患者手术顺利,且均获得10～15个月(平均12个月)门诊随访,术后出现4例切口浅表感染,无其他手术并发症,末次随访踝关节功能Baird-Jackson评分优12例,良7例,可1例,差1例; 优良率90%。结论 改良后内侧入路在处理内、后踝具有潜在优势,可作为处理三踝骨折的一种方法。
参考文献/References
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(收稿日期: 2019-04-19)
备注/Memo
- 备注/Memo:
- 基金项目: 安徽省淮南市科技项目(编号:2018A3611) 通信作者: 李强,E-mail:l251715189@126.com
