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闭合复位经皮空心螺钉内固定治疗后踝骨折

冯青 许效坤 苏海涛

局解手术学杂志2011,Vol.20Issue(1):45-47,3.
局解手术学杂志2011,Vol.20Issue(1):45-47,3.

闭合复位经皮空心螺钉内固定治疗后踝骨折

Close reduction and percutaneous internal fixation with hollow screw in treatment of posterior malleolus fractures

冯青 1许效坤 1苏海涛1

作者信息

  • 1. 沧州市人民医院创伤骨科,河北,沧州,061000
  • 折叠

摘要

Abstract

Objective To investigate the indication and efficacy of close reduction and percutaneous internal fixation with hollow screws in the treatment of posterior malleolus fractures. Methods The clinical data of 42 cases of posterior malleolus fracture treated by this method from July,2004 to April ,2010 were retrospectively analyzed,including 28 cases of supination-eversion fractures,6 cases of pronation-eversion fractures and 8 cases of pronation-abduction fractures. The fracture healing rate was assessed by X-ray film and the function of the ankle joint was evaluated by foot and ankle scoring system recommended by American Orthopedic Foot & Ankle Society ( AOFAS). Results The followup averaged for 22 months (6 ~75 months). The fracture healing time ranged form 6 to 12 weeks. According to the results of foot and ankle function scores, the average score was 96 points (78 ~ 100 points), including 41 cases of excellence and 1 case of fairness, the rate of excellent and good amounting to 97.6%. Conclusion With the advantage of quick recovery, high healing rate and better healing effect, close reduction and percutaneous internal fixation with hollow screws is feasible in the treatment of posterior malleolus facture.

关键词

后踝骨折/关节内骨折/骨折内固定术/空心螺钉/微创手术

分类

医药卫生

引用本文复制引用

冯青,许效坤,苏海涛..闭合复位经皮空心螺钉内固定治疗后踝骨折[J].局解手术学杂志,2011,20(1):45-47,3.

局解手术学杂志

OACSTPCD

1672-5042

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