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外固定疗法治疗复杂踝部骨折临床研究
引用本文:阎兆东,陈海华,张泰标,甘发荣,郑重建,胡万钧,张岩,阎公南.外固定疗法治疗复杂踝部骨折临床研究[J].中国中医骨伤科杂志,2010(8):24-25.
作者姓名:阎兆东  陈海华  张泰标  甘发荣  郑重建  胡万钧  张岩  阎公南
作者单位:海南省中医院,海口570203
基金项目:海南省卫生厅科研项目(编号:琼卫2005-37)
摘    要:目的:探讨外固定疗法治疗复杂踝部骨折的临床疗效。方法:采用标准对照,将60例患者按随机数字表法分为治疗组和对照组各30例,治疗组采用手法复位U形树脂托板加塑形夹板固定治疗,对照组采用手法复位传统夹板固定治疗,2组均随访12~24月,平均18月,比较2组间的疗效。结果:2组总有效率分别为93.3%和80.0%,治疗组优于对照组(P0.05)。结论:手法复位U型树脂托板加塑形夹板治疗踝关节骨折具有一小二早三方便特点,为复位的踝部骨折提供富有弹性三维稳定的理想固定方法。

关 键 词:踝部骨折  外固定疗法  临床研究

Clinical Research of External Fixation for Complex Ankle Fractures
YAN Zhaodong,CHEN Haihua,ZHANG Taibiao,GAN Farong,ZHENG Chongjian,HU Wangjun,ZHANG Yan,YAN Gongnan.Clinical Research of External Fixation for Complex Ankle Fractures[J].Chinese Journal of Traditional Medical Traumatology & Orthopeics,2010(8):24-25.
Authors:YAN Zhaodong  CHEN Haihua  ZHANG Taibiao  GAN Farong  ZHENG Chongjian  HU Wangjun  ZHANG Yan  YAN Gongnan
Institution:1Hainan Hospital of Traditional Chinese Medicine,Haikou 570203,China
Abstract:Objective:To explore the clinical curative effect of external fixation on complex ankle fracture.Methods:Sixty patients with complex ankle fracture were randomly divided into the treatment group and control group,30 cases in each group. The treatment group received manipulative reduction and u-shaped resin plate fixation,while control group received manipulative reduction and traditional splinting treatment. Both groups were followed up for 12 ~ 24 months,averagely 18 months. Clinical effects between the two groups were compared. Results:Total effective rate was 93.3% and 80.0% respectively in treatment group and control group (P0.05).Conclusion:Manipulative reduction plus u-shaped resin plate fixation for complex ankle fractures has the advantages of small incision,early intervention and convenient performance,providing an ideal method for complex ankle fracture.
Keywords:Ankle fracture  External fixation  Clinical research
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