摘要
目的 探讨透明质酸钠对踝关节粉碎性骨折的辅助治疗作用。方法 1998年 4月～ 2 0 0 0年 11月对 37例 41个踝关节粉碎性骨折患者 ,按常规行手术复位固定术 ,术毕缝合前关节腔内注入透明质酸钠注射液 2 m l,固定受累关节。术后第 3天 ,踝关节腔内再次注射透明质酸钠 2 ml。此后每周注射一次 ,直至 4周拆除石膏。通过随访评价疗效。结果 所有患者术后随访 6～ 2 7个月 ,30例踝关节粉碎性骨折完全愈合 ,功能恢复正常 ;4例剧烈活动时踝关节隐痛 ,2例行走超过 1km或阴雨天时即感觉踝关节隐痛 ;1例压陷型粉碎性骨折者 ,由于骨折复位不良 ,术后治疗效果不满意。
Objective To investigate the effects of sodium hyaluronate in supplementary treatment of comminuted fracture of ankle. Methods Thirty seven patients suffered from comminuted fracture of ankle were operated for restoration by routing methods, and received 2ml of sodium hyaluronate injection intra articularly before the closure of incision. The ankle was fixed and given the second intra articular injection on the 3rd day after operation. Then, the patients were given sodium hyaluronte injection intra articularly at a week intervals till the paste was removed after 4 weeks. All patients were followed up. The clinical results were evaluated by measuring the symptoms of pain, and the function of walking and other daily living activities. Results All the patients were followed up for 6 to 27 months, among them, 30 patients were cured completely without any symptoms, the ankle function for walking and daily living activities was normal, 6 patients felt pain with violent activity or walking exceeding 1 km, one patient suffered from comminuted fracture with compressed depression was not improved due to his ankle being not restored properly. Conclusion Intra articular injection of sodium hyaluronate is an effective supplementary treatment for comminuted fracture of ankle.
出处
《中国修复重建外科杂志》
CAS
CSCD
2002年第1期21-22,共2页
Chinese Journal of Reparative and Reconstructive Surgery
