摘要
[目的]分析手术治疗不稳定踝关节骨折的效果。[方法]回顾分析38例不稳定踝关节骨折行手术治疗患者临床资料,用Danish-Weber法对骨折分类,并用AOFAS踝与后足评分系统评分方法评出获随访的38例患者得分,研究影响踝关节骨折手术疗效的相关因素。[结果]38例患者AOFAS踝与后足评分平均为90分(65～95分),3例评分<75分。通过分析各影响因素与AOFAS踝与后足评分结果的关系,得出对影响踝关节功能预后的单因素Logistic逐步回归模型的是年龄和骨折类型,合并症被排除在模型之外。[结论]影响踝关节骨折术后关节功能的主要因素是年龄和骨折类型,及时发现可能导致踝关节不稳定的因素,正确判断骨折的类型,明确有无伴随韧带损伤并选择适合的固定方法,是防止日后继发踝关节创伤性关节炎的最有效措施。
[Objective] To analyze the 38 cases of surgical treatment of unstable ankle fractures. [Methods] Retrospective analysis of 38 cases of unstable ankle fractures in patients with surgical treatment of clinical data, with the Danish-Weber method of fracture classification, and the AOFAS Ankle and Hindfoot Scoring System scoring top 38 patients were followed up for the score, study the impact of ankle fractures surgery-related factors. [ Results ] 38 patients AOFAS Ankle and Hindfoot Scoring System score was 90 points（65 to 95 points）, score 3 〈75 points. By analyzing the various factors and the AOFAS Ankle and Hindfoot Scoring System, the relationship between the results, obtained on the prognosis of ankle joint function of a single factor Logistic regression models were age and type of fracture, complications were excluded from the model outside. [ Conclusion ] Age and fracture type of the patients are the main prognostic factors affecting postoperative function of the ankle joint. Timely discovery of factors that might lead to ankle instability, correct diagnosis of the fracture type and presence or absence of associated ligament injury, and appropriate choice of fixation methods are the most effective measures to prevent secondary chronic ankle instabiliW which may lead to traumatic arthritis.
出处
《浙江中医药大学学报》
CAS
2012年第5期526-528,共3页
Journal of Zhejiang Chinese Medical University
关键词
踝关节
骨折
关节不稳定型
骨折内固定术
anlde joint
fractures
joint instability
fracture internal ftxation
