山东医药2012，Vol.52Issue(16)：25-27,3.
踝关节骨折畸形愈合的临床治疗
The clinical treatment of malunited ankle fracture
梁彦 1和利 2李卫哲 3田维 3贾健3
作者信息
- 1. 天津医科大学,天津300000
- 2. 宁河县医院
- 3. 天津医院
- 折叠
摘要
Abstract
Objective To explore the preoperative evaluation, surgical methods and clinical results of malunited ankle fracture. Methods From June 2004 to March 2011, 16 patients of malunited ankle fracture were treated in our hospital. Fifteen cases whose articular cartilage injury was less than IV level in MRI were operated by osteotomy and fixed with interior and external fixation. One case whose articular cartilage injury was IV level in MRI was operated by fusion joint ankle. Results All patients were followed-up on an average of 30.8 months ( range 6 to 87 months). The time of fracture union was 13.2 weeks (12-17 weeks). The postoperative AOFAS ankle score was 82 (58-92 ) , good rate was 81.3%. In 16 cases, there were no deep infection, internal fixation failure, fracture nonunion, deformity recurrence. The skin edge necrosis occurred in 2 case and the superficial infection of screw road was seen in 1 case. All these three cases were cured by symptomatic treatment. Conclusions MRI is important to appraise the severity of articular cartilage injury and choose the surgical methods. Operated with osteotomy and fixed with interior and external fixation for the cases whose articular cartilage injury is less than IV level in MRI is an effective way.关键词
踝关节/骨折/外固定器/畸形愈合Key words
ankle joint/ fracture/ external fixators/ malunited分类
医药卫生引用本文复制引用
梁彦,和利,李卫哲,田维,贾健..踝关节骨折畸形愈合的临床治疗[J].山东医药,2012,52(16):25-27,3.
