摘要
目的探讨后外侧入路与后内侧入路在治疗踝关节旋后外旋型Ⅳ度损伤疗效对比。方法从2011年6月至2014年3月。采用后外侧入路及后内侧入路分别治疗旋后外旋型Ⅳ度踝关节骨折患者28例。术后采用采用Baird-Jackson踝关节功能评分评定踝关节功能，结果行统计学对比。结果所有患者均得到随访。随访时间平均为6～19个月．骨折临床愈合时间为3～6个月，平均4．5个月。所有病例无皮肤坏死、内固定物松动、断裂及骨不连等并发症的发生。疗效评价参考Baird-Jackson踝关节功能评分后外侧入路治疗组治疗优良率优于后内侧入路观察组，结果对比差异有统计学意义。结论采用后外侧入路在踝关节旋后外旋型Ⅳ度损伤治疗中，显露清晰，固定可靠，允许早期功能锻炼，是治疗踝关节旋后外旋型Ⅳ度损伤有效治疗手段。
Objective To explore the effects of posterolateral approach and posteromedial approach in treating supination-lateral rotation ankle injury（stage IV）. Methods From June 2011 to March 2014, 56 patients with supination-lateral rotation ankle injuries （stage IV ） were treated though posterolateral approach and posteromedial approach,with each group including 28 cases. Baird-Jackson rating system was applied postoperatively and the results were analyzed statistically. Results All the patients were followed up 6 to19 months. All the fractures healed in 4.5 months averagely （3 - 6 months）. All cases had no complications such as skin necrosis, internal fixator loosening or rupture and bone nonunion. According to Baird-Jackson Score, the excellence rate in patients underwent though posterolateral approach was significantly higher than the group underwent though posteromedial approach. Conclusions The posterolateral approach is a good way to treat supination-lateral rotation ankle injuries （stage IV）, for which allows good access, stable fixation and early function exercise.
出处
《临床医学工程》
2014年第7期907-909,共3页
Clinical Medicine & Engineering
关键词
后外侧入路
后内侧入路
旋后外旋型Ⅳ度
疗效比较
Posterolateral approach
Posteromedial approach
Supination-lateral rotation ankle injury （stage IV）
Comparative study
