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目的:探讨后外侧联合内侧入路手术治疗三踝骨折的临床疗效。方法:回顾性分析2006年5月-2012年11月因三踝骨折来本院治疗者43例,手术均采用后外侧联合内侧入路切开复位钢板螺钉内固定,骨折端均未植骨。分析患者骨折愈合情况、内固定稳定性和美国足踝外科AOFAS评分。结果:所有患者均获得随访,随访时间10~21个月,平均15个月;所有患者均获得骨性愈合,愈合时间11~18周,平均13周;术后1例患者出现皮肤愈合不良、1例切口感染,保守治疗后好转,无内固定松动断裂等并发症;踝关节功能AOFAS评分(92.2±5.4)分。结论:采用后外侧联合内侧入路手术治疗三踝骨折,可以使踝关节尽量获得解剖复位,有利于早期功能锻炼,避免后期创伤性关节炎。 相似文献
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《Journal of orthopaedic science》2022,27(6):1342-1344
Treating posterior malleolar fractures of the ankle remains a challenge. The arthroscopic handlebar technique is our novel surgical method used for reduction and fixation of posterior malleolar fractures and involves the restoration of posterior malleolar fractures under anterior arthroscopic guidance and the use of Kirschner wires that penetrates the fractured posterior malleolus. Arthroscopy enables visualization of the intra-articular fracture of the posterior malleolus, and a handlebar reduction bar is used to control the fractured posterior malleolus. The arthroscopic handlebar technique is a promising procedure for reduction and internal fixation of the posterior malleolar fractures. 相似文献
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目的:探讨三踝骨折的手术治疗及疗效。方法:对1998~2008年41例采用切开复位内固定的患者手术疗效进行回顾性分析总结。结果:本组41例患者均随访6~12个月,治疗效果根据Cedell主观标准评定,其中优30例,良8例,差3例,优良率92.7%。结论:积极手术治疗,准确的骨折复位和有效的内外固定,可减少并发症,促进踝关节功能恢复,提高疗效,降低伤残的程度。 相似文献
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Pasquale Farsetti Roberto Caterini Vito Potenza Vincenzo De Luna Fernando De Maio Ernesto Ippolito 《Journal of orthopaedics and traumatology》2009,10(2):63-69
Background Surgical treatment is usually mandatory in displaced bimalleolar and trimalleolar fractures. Some authors have recommended
early mobilization of the ankle joint after surgical treatment of these lesions. In this study, we evaluate the effect of
immediate postoperative continuous passive motion in the management of displaced bimalleolar and trimalleolar fractures treated
surgically.
Materials and methods Two series of 22 patients each, who had had a Weber type A, B or C ankle fracture treated surgically, were followed up at
least 10 years after the injury. In the first series, immediately after surgery, a continuous passive motion machine was applied
to the operated ankle for 3 weeks, whereas in the second series, after surgery a plaster splint or a plaster cast was applied
for 3 weeks.
Results At follow-up, all patients were evaluated clinically and radiographically using the AOFAS Ankle Hindfoot Score System (Kitaoka,
Foot Ankle 15:349–353, 1994). The average final score for the first series of patients was 95.7 points (range 87–100 points,
standard deviation 3.42 points). Of this series, at radiographic examination, in two patients we observed minor signs of osteoarthritis
of the ankle joint. The average final score for the second series was 88 points (range 68–100 points, standard deviation 10.60
points). At radiographic examination, in six patients we observed minor signs of osteoarthritis of the ankle joint, whereas
in another one the osteoarthritis was severe.
Conclusions Continuous passive motion started immediately after surgery seems to be an effective method both for allowing complete and
quick recovery of the range of motion of the ankle and for reducing the risk of early degenerative joint disease. Immediate
passive ankle motion can be applied only after adequate reduction and stable internal fixation. 相似文献
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目的:探讨三踝骨折切开复位内固定的方法和治疗效果。方法:2003年1月-2008年1月,采用切开复位钢板螺钉内固定的方法治疗三踝骨折45例。其中男25例,女20例;年龄18-75岁,平均42.5岁。闭合性骨折38例,开放性骨折7例,合并下胫腓联合分离10例。结果:全部患者均获随访,随访时间6-24个月,平均12个月。术后未发生骨不连、畸形愈合、胫腓下联合处螺钉断裂等并发症。骨折愈合时间为12-18周。踝关节功能按O lerud与Mon lander评分系统进行评定,其中优34例,良6例,可3例,差2例,优良率88.9%。结论:切开复位钢板螺钉内固定手术治疗三踝骨折可提高复位质量、重建踝关节稳定性,对踝关节功能恢复,改善远期疗效具有重要意义。 相似文献
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