摘要
目的探讨钢板内固定合并韧带修复治疗踝关节骨折的临床效果。方法选取踝关节骨折患者62例为研究对象,对其进行钢板内固定合并韧带修复治疗后进行随访,分析其临床治疗效果。结果术后对62例患者进行8~12(10.33±3.23)个月的随访,其中60例完成整个随访过程,2例失访,失访率为3.23%。完成随访的60例骨折愈合情况良好,骨折愈合时间10~15(12.05±3.12)周。术后2个月,经X射线检测,60例患者踝部均得有效复位,踝部解剖复位率为100%。术后6个月,Baird-Jackson踝关节评分系统评估结果显示,疼痛、稳定、行走三项评分分别为(12.53±3.34)分、(12.78±3.55)分、(13.89±3.23)分,踝部功能恢复情况较为良好。结论踝关节骨折患者采用钢板内固定合并韧带修复方案进行治疗后,具有较为显著的临床治疗效果,骨折愈合率高,踝部均得到了有效的复位,功能恢复情况良好。
Objective To investigate the clinical effect of plate internal fixation combined with ligament repair on ankle fracture. Methods Sixty-two patients with ankle fracture were selected and followed up after plate internal fixation and ligament repair,and the clinical treatment effect were analyzed.Results The patients were followed up for 8 to 12（ 10. 33 ± 3. 23） months. Among them,60 patients were followed up successfully,while two patients were lost to follow up and the lost rate was 3. 23%. The fracture healed well in 60 patients,and the fracture healing time was 10 ~ 15（ 12. 05 ± 3. 12） weeks.Two months after the operation,the ankles were effectively reset in 60 patients detected by X ray examination,and the anatomic reduction rate of ankle was 100%. Six months after the operation,Baird-Jackson ankle joint scoring system showed that the score of pain,stability and walking were（ 12. 53 ± 3. 34）points、（ 12. 78 ± 3. 55） points and（ 13. 89 ± 3. 23） points, the ankle function recovered well.Conclusions Patients with ankle fracture treated by plate fixation combined with ligament repair scheme have significant clinical effect and high fracture healing rate.
出处
《临床医学》
CAS
2017年第12期3-5,共3页
Clinical Medicine
