目的探讨手法复位联合夹板固定在Lauge—HansenⅡ～Ⅲ度踝部骨折脱位的临床效果。方法将84例踝部骨折患者分为观察组与对照组，对照组采用切开复位螺钉内固定手术进行治疗，观察组采用手法复位联合夹板固定治疗。结果观察组与对照组的...目的探讨手法复位联合夹板固定在Lauge—HansenⅡ～Ⅲ度踝部骨折脱位的临床效果。方法将84例踝部骨折患者分为观察组与对照组，对照组采用切开复位螺钉内固定手术进行治疗，观察组采用手法复位联合夹板固定治疗。结果观察组与对照组的手术时间分别为（61．5±9．4）min vs （36．9±7．6）min，术中出血量为（84．2±12．1）mLvs （24．3±5．8）mL，骨折愈合时间为（6．2±2．3）d vs （7．5±2．6）d，术后7周踝关节功能评分为（81．4±4．4）分vs （77．8±4．3）分，经过对比，均P〈0．05，术后10周观察组踝关节功能评分（92．4±5．1）分VS（91．8±4．9）分，P〉0．05。结论手法复位联合夹板固定在Lauge—HansenⅡ-Ⅲ度踝部骨折脱位中具有手术时间短、术中出血量少及骨折愈合时间短等特点，值得Lauge—HansenⅡ-Ⅲ度踝部骨折脱位患者应用。展开更多
Ankle fractures are one of the most common injuries treated by orthopaedic surgeons. A minority of patients with ankle fractures go on to develop persistent pain following anatomical reduction. These sequelae may aris...Ankle fractures are one of the most common injuries treated by orthopaedic surgeons. A minority of patients with ankle fractures go on to develop persistent pain following anatomical reduction. These sequelae may arise as a result of untreated ligamentous or chondral injuries. This study aims to correlate acute arthroscopic ankle findings with the <i><span>Lauge-Hansen </span></i><span>fracture pattern classification. We further aim to compare subjective functional outcomes at least one year following surgery between patients who have received Open Reduction and Internal Fixation (ORIF) alone, </span><b><i><span>versus</span></i></b><i><span> </span></i><span>ORIF </span><i><span>plus</span></i><span> arthroscopy. This is a retrospective case series of patients who have undergone ankle fracture ORIF +/</span><span>-</span><span> arthroscopy from July 2014 to July 2017 inclusive. Each patient’s presenting radiograph was classified according to the </span><i><span>Lauge-Hansen</span></i><span> ankle fracture classification with subsequent correlation to intra-operative arthroscopic findings. Functional outcome at a minimum of one year was evaluated with the American Academy of Orthopaedic Surgeons (AAOS) metric. Twenty two patients underwent ankle ORIF plus arthroscopy (Group A) with a further 26 patients receiving ORIF alone (Group B). 1 in 3 supination-external-rotation type II (SER II) injuries possessed a concomitant syndesmosis injury or osteochondral lesion (OCL) on arthroscopy. 1 in 3 patients with a</span><span>n</span><span> SER IV injury had an osteochondral lesion. The mean AAOS score achieved for Group A was 89.6 (±7.9) with the mean score for Group B being 82.0 (±13.7). In conclusion, ankle arthroscopy aids the diagnosis and treatment of ligamentous and osteochondral injuries not evident on plain film with subsequent superior short-term outcomes</span><span>.</span>展开更多
文摘目的探讨手法复位联合夹板固定在Lauge—HansenⅡ～Ⅲ度踝部骨折脱位的临床效果。方法将84例踝部骨折患者分为观察组与对照组，对照组采用切开复位螺钉内固定手术进行治疗，观察组采用手法复位联合夹板固定治疗。结果观察组与对照组的手术时间分别为（61．5±9．4）min vs （36．9±7．6）min，术中出血量为（84．2±12．1）mLvs （24．3±5．8）mL，骨折愈合时间为（6．2±2．3）d vs （7．5±2．6）d，术后7周踝关节功能评分为（81．4±4．4）分vs （77．8±4．3）分，经过对比，均P〈0．05，术后10周观察组踝关节功能评分（92．4±5．1）分VS（91．8±4．9）分，P〉0．05。结论手法复位联合夹板固定在Lauge—HansenⅡ-Ⅲ度踝部骨折脱位中具有手术时间短、术中出血量少及骨折愈合时间短等特点，值得Lauge—HansenⅡ-Ⅲ度踝部骨折脱位患者应用。
文摘Ankle fractures are one of the most common injuries treated by orthopaedic surgeons. A minority of patients with ankle fractures go on to develop persistent pain following anatomical reduction. These sequelae may arise as a result of untreated ligamentous or chondral injuries. This study aims to correlate acute arthroscopic ankle findings with the <i><span>Lauge-Hansen </span></i><span>fracture pattern classification. We further aim to compare subjective functional outcomes at least one year following surgery between patients who have received Open Reduction and Internal Fixation (ORIF) alone, </span><b><i><span>versus</span></i></b><i><span> </span></i><span>ORIF </span><i><span>plus</span></i><span> arthroscopy. This is a retrospective case series of patients who have undergone ankle fracture ORIF +/</span><span>-</span><span> arthroscopy from July 2014 to July 2017 inclusive. Each patient’s presenting radiograph was classified according to the </span><i><span>Lauge-Hansen</span></i><span> ankle fracture classification with subsequent correlation to intra-operative arthroscopic findings. Functional outcome at a minimum of one year was evaluated with the American Academy of Orthopaedic Surgeons (AAOS) metric. Twenty two patients underwent ankle ORIF plus arthroscopy (Group A) with a further 26 patients receiving ORIF alone (Group B). 1 in 3 supination-external-rotation type II (SER II) injuries possessed a concomitant syndesmosis injury or osteochondral lesion (OCL) on arthroscopy. 1 in 3 patients with a</span><span>n</span><span> SER IV injury had an osteochondral lesion. The mean AAOS score achieved for Group A was 89.6 (±7.9) with the mean score for Group B being 82.0 (±13.7). In conclusion, ankle arthroscopy aids the diagnosis and treatment of ligamentous and osteochondral injuries not evident on plain film with subsequent superior short-term outcomes</span><span>.</span>
