摘要
目的:探讨切开复位内固定术治疗踝关节骨折的治疗效果。方法:2012年5月-2014年5月收治踝关节骨折患者45例,采用切开复位内固定术进行治疗。通过随访观察所有患者的骨折愈合情况和踝关节功能恢复情况。结果:本组45例患者出院后均进行随访,随访时间5~12个月,平均(7.9±1.8)个月。所有患者的手术伤口均为Ⅰ期甲级愈合,均未出现切口感染、骨折不愈合、创伤性关节炎及内固定断裂等并发症。患者内固定的取出时间6~18个月,平均(11.7±2.4)个月。根据Baird-Jackson踝关节评分系统对患者的临床疗效进行评定得出:优31例,良10例,可4例,差0,优良率91.11%。结论:对踝关节骨折患者采用切开复位内固定术进行治疗具有良好的临床疗效,且并发症少,值得临床推广。
Objective:To explore the clinical efficacy of open reduction and internal fixation for the treatment of ankle joint fracture.Methods:45 patients with ankle fracture were selected from May 2012 to May 2014.They were treated by open reduction and internal fixation.Through the follow-up,we observed the fracture healing and functional recovery of ankle joint of all patients.Results:45 patients were followed up after discharge,follow-up time was 5 to 12 months,average was(7.9 ± 1.8) months.All patients with operation wound were healed at the first stage,there was no incision infection,nonunion of fracture,traumatic arthritis and internal fixation of fracture and so on.Remove fixed time in patients was 6 to 18 months,average was(11.7±2.4) months.According to the Baird-Jackson ankle joint scoring system,we evaluated the clinical curative effect:excellent in 31 cases,good in10 cases,satisfactory in 4 cases,poor in 0 case,the excellent and good rate was 91.11%.Conclusion:Open reduction and internal fixation for the treatment of ankle joint fracture had good clinical efficacy,and complications were few,and it was worth the clinical promotion.
出处
《中国社区医师》
2015年第14期48-49,共2页
Chinese Community Doctors
关键词
切开复位
内固定
踝关节骨折
Open reduction
Internal fixation
Ankle fracture
