| 赵萌,邹剑,曹学伟.一期修复三角韧带手术治疗踝关节旋后外旋Ⅳ型骨折的疗效分析.骨科,2015,6(4): 183-185. |
| 一期修复三角韧带手术治疗踝关节旋后外旋Ⅳ型骨折的疗效分析 |
| Efficacy of one-stage repair of deltoid ligament for supination-external rotation type Ⅳ ankle fractures |
| 投稿时间：2014-12-05 |
| DOI：10.3969/j.issn.1674-8573.2015.04.004 |
| 中文关键词: 三角韧带 骨折固定术，内 踝关节 |
| 英文关键词: Deltoid ligament Fracture fixation, interal Ankle joint |
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| 中文摘要: |
| 目的 探讨一期修复三角韧带手术治疗伴三角韧带撕裂的踝关节旋后外旋Ⅳ型骨折的临床疗效。方法 自2011年1月至2013年2月，根据 Lauge-Hansen分型，对19例伴三角韧带撕裂的踝关节旋后外旋Ⅳ型骨折采用骨折切开复位钢板内固定，三角韧带铆钉修复的手术方法进行治疗。末次随访应用Mazur踝关节评分系统，根据愈后疼痛程度、功能及踝关节活动范围对治疗结果进行评估。结果 所有患者均获得随访，术后平均随访时间17.3个月(14.0~25.0个月)，骨折处均获得骨性愈合，平均愈合时间4.7个月(4.2~6.9个月)，踝穴正常，无创伤性关节炎。Mazur踝关节评分：优6例，良11例，可2例，优良率为89.5％。结论 伴三角韧带撕裂的踝关节旋后外旋Ⅳ型骨折采用骨折切开复位钢板内固定，三角韧带铆钉修复的手术方法，能够获得满意的临床疗效。 |
| 英文摘要: |
| Objective To study the efficacy of one-stage repair of deltoid ligament for supination-external rotation type Ⅳ ankle fractures. Methods From Jan. 2011 to Feb. 2013, according to Lauge-Hansen classification, 19 cases of supination-external rotation type Ⅳ ankle fractures with deltoid ligament disruption were treated with anchor repair plus open reduction internal fixation. Function and radiographic images were analyzed, and ankle range of motion was evaluated by Mazur criteria at the latest follow-up. Results All cases were followed-up for 14.0 to 25.0 months (17.3 months on average). The average healing time of fracture was 4.7 months (4.2-6.9 months). The mortises were normal and no traumatic arthritis occurred. Excellent efficacy was obtaine in 6 cases, good in 11 cases and fair in 2 cases with the excellent-to-good rate being 89.5%. Conclusion Anchor repair plus open reduction internal fixation in treating supination-external rotation type Ⅳ ankle fractures with deltoid ligament disruption can obtain satisfactory clinical efficacy. |
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