摘要
目的探讨后外侧入路配合健侧卧位在三踝骨折手术内固定中的应用效果。方法 2009年6月—2013年6月对32例三踝骨折患者采用后外侧入路配合健侧卧位切开复位内固定手术治疗,外踝解剖或重建钢板固定,后踝及内踝螺钉固定。结果 32例均获随访,随访时间6个月～24个月,平均10个月,骨折愈合时间14周～26周,无伤口感染、骨折不愈合、钢板螺钉断裂等并发症。根据美国足与踝关节协会（AOFAS）评分标准：优20例,良8例,可4例,优良率87.5%。结论后外侧入路配合健侧卧位在三踝骨折手术中可提供良好的视野,有利于解剖复位,损伤小,固定确切,功能恢复好,疗效满意。
ObjectiveTo investigate the posterolateral approach with lateral position in the therapeutic effect of internal fixation operation in the application of three ankle fractures.Methodsfrom 2009-06 to 2013-06 in 32 cases of three ankle fractures using a posterolateral approach combined with contralateral decubitus fixation surgery reduction. Anatomical or reconstruction plate fixation of lateral malleolus,medial malleolus posterior malleolus and screw fixation. Results32 cases were followed up,followed up for 6-24 months,average 10 months. Time of fracture healing was 14-26 weeks. No wound infection,nonunion,fracture complications such as plate and screw. According to the foot ＆ Ankle Society （AOFAS）score：excellent in 20 cases,good in 8 cases,4 cases,the excellent and good rate was 87.5%.Conclusionthe posterolateral approach with lateral position in the surgical treatment of fractures can be in three ankle provides good vision,is conducive to theanatomical reduction,small damage,reliable fixation and good function recovery,obtained satisfactory curative effect.
出处
《基层医学论坛》
2015年第30期4184-4186,共3页
The Medical Forum
关键词
三踝骨折
内固定
手术入路
手术体位
Three ankle fracture
Internal fixation
Surgical approach
Operating position
