中南医学科学杂志Issue(5)：549-553,5.DOI:10.15972/j.cnki.43-1509/r.2015.05.016
内踝、后踝及下胫腓联合损伤对陈旧性踝关节骨折脱位预后的影响
The Analysis of the Clinical Outcome of Old Ankle Fracture and Dislocation with Posterior Malleolar Fractures,Medial Malleolar Fractures and Syndesmosis Injury
符勇 1孙丹芳 2谭文甫 1王岩 3谭光华 1王燕4
作者信息
- 1. 南华大学附属第二医院创伤骨科，湖南 衡阳421001
- 2. 南华大学附属第二医院体检中心
- 3. 北京积水潭医院创伤骨科
- 4. 南华大学附属第二医院麻醉科
- 折叠
摘要
Abstract
Objective To study the effect factors of the clinical outcome of old ankle fractures and dislocation and guide the clinical treatment. Methods 52 cases of old ankle fractures and dislocation in our hospital between August 2003 and July 2014 were analyzed,The American Orthopaedic Foot and Ankle Society( AOFAS) rating system was used to evaluate the function of the ankle postoperatively(1 year post-operation). All cases were divided into two groups according to three fractors:posterior malleolar fractures,medial malleolar fractures,the integrity of distal tibiofibular syndesmosis,in order to find out whether they have any influence on the final results. Results The mean follow-up time was 35. 6 months ( range 13~60 months) . All cases were reported good from the revision procedure. 4 cases of skin flay necrosis re-covered well after proper treatment. There was a significant difference (P<0. 05) with the condition that whether the pa-tients associated with posterior malleolar fractures or not. But there was no significant difference whether the patients had medial malleolar fractures or not. Distal tibiofibular syndesmosis injury also has no influence on the final results. Conclu-sion For old ankle fractures,posterior malleolar fractures will affect clinical outcome. Medial malleolar fractures and distal tibiofibular syndesmosis injury has no influence on the final results.关键词
陈旧性踝关节骨折/脱位/治疗/临床预后/影响因素Key words
old ankle fracture/dislocation/treatment/clinical outcome/affect factor分类
医药卫生引用本文复制引用
符勇,孙丹芳,谭文甫,王岩,谭光华,王燕..内踝、后踝及下胫腓联合损伤对陈旧性踝关节骨折脱位预后的影响[J].中南医学科学杂志,2015,(5):549-553,5.
