摘要
目的:观察四肢洗方在改善胫骨远端骨折术后踝关节功能方面的临床效果。方法:2006年1月至2008年3月,将49例胫骨远端骨折患者随机分为治疗组和对照组,治疗组24例,男16例,女8例;平均年龄(41.3±13.2)岁;骨折AO分型:A型13例,B型9例,C型2例。对照组25例,男15例,女10例;平均年龄(38.2±10.9)岁;AO分型:A型12例,B型10例,C型3例。两组患者均采用经皮锁定接骨板内固定术,治疗组切口愈合后予四肢洗方熏洗,配合关节功能锻炼;对照组则常规功能锻炼。结果:治疗组和对照组均无切口感染、皮瓣坏死、骨和钢板外露等情况。49例患者均获随访,时间4～16个月,平均8.6个月。采用Johner-Wruhs评价标准评价,治疗组优7例,良12例,中5例;对照组优5例,良7例,中10例,差3例。两组疗效比较差异有统计学意义(P<0.05),治疗组明显优于对照组。结论:四肢洗方有助于改善胫骨远端骨折术后踝关节功能。
Objective ：To observe the clinical effect of Sizhi-Xifang in the improvement of postoperative ankle function. Methods：From Jan. 2006 to Mar. 2008,49 patients were divided randomly into treatment group and control group. The treatment group included 16 males and 8 females with an average age of （41.3±13.2） years ,involving 13 cases of tye A ,9 of type B and 2 of type C based on AO classification. The control group included 15 males and 10 females with an average age of （38.2±10.9） years,involving 12 cases of type A, 10 of type B ,3 of type C. Minimal invasive percutaneous plate were used in each group. In treatment group 24 cases were treated with Sizhi-Xifang after the incisions were healed. Results： There were no incision infections, flaps necrosis, bone and plate exposure after treatment in two groups. All patients were followed-up for 4 to 16 months with an average of 8.6 months. According to Johner-Wruhs evaluation standard,there were 7 cases in excellent, 12 in good ,5 in fair in treatment group and in control group there were 5 cases in excellent ,7 in good, 10 in fair and 3 in poor. The comparison of effect between two groups had significant difference （P〈0.05）. Conclusion ：Sizhi-Xifang is helpful to improve the ankle postoperative function.
出处
《中国骨伤》
CAS
2010年第5期394-396,共3页
China Journal of Orthopaedics and Traumatology
关键词
胫骨骨折
骨折固定术
内
踝关节
临床对照试验
Tibial fractures
Fracture fixation,internal
Ankle joint
Controlled clinical trials
