经皮锁定接骨板固定结合四肢洗方熏洗治疗胫骨远端骨折

目的:观察四肢洗方在改善胫骨远端骨折术后踝关节功能方面的临床效果.方法:2006年1月至2008年3月,将49例胫骨远端骨折患者随机分为治疗组和对照组,治疗组24例,男16例,女8例;平均年龄(41.3±13.2)岁;骨折AO分型:A型13例,B型9例,C型2例.对照组25例,男15例,女10例;平均年龄(38.2±10.9)岁;AO分型:A型12例,B型10例,C型3例.两组患者均采用经皮锁定接骨板内固定术,治疗组切口愈合后予四肢洗方熏洗,配合关节功能锻炼;对照组则常规功能锻炼.结果:治疗组和对照组均无切口感染、皮瓣坏死、骨和钢板外露等情况.49例患者均获随访,时间4～16个月,平均8.6个月.采用Johner-Wruhs评价标准评价,治疗组优7例,良12例,中5例;对照组优5例,良7例,中10例,差3例.两组疗效比较差异有统计学意义(P<0.05),治疗组明显优于对照组.结论:四肢洗方有助于改善胫骨远端骨折术后踝关节功能.

Percutaneous locking plate combined with Sizhi-Xifang for treatment of the distal tibial fracture

Objective: To observe the clinical effect of Sizhi-Xifang in the improvement of postoperative ankle function. Methods: From Jan. 2006 to Mar. 2008,49 patients were divided randomly into treatment group and control group. The treatment group included 16 males and 8 females with an average age of(41.3±13.2) years,involving 13 cases of tye A,9 of type B and 2 of type C based on AO classification. The control group included 15 males and 10 females with an average age of(38.2±10.9) years,involving 12 cases of type A,10 of type B,3 of type C. Minimal invasive percutaneous plate were used in each group. In treatment group 24 cases were treated with Sizhi-Xifang after the incisions were healed. Results: There were no incision infections,flaps necrosis,bone and plate exposure after treatment in two groups. All patients were followed-up for 4 to 16 months with an average of 8.6 months. According to Johner-Wruhs evaluation standard,there were 7 cases in excellent,12 in good,5 in fair in treatment group and in control group there were 5 cases in excellent,7 in good,10 in fair and 3 in poor. The comparison of effect between two groups had significant difference(P<0.05). Conclusion: Sizhi-Xifang is helpful to improve the ankle postoperative function.