干旱区生态环境知识资源中心(Arid): 踝关节骨折的手术治疗

Arid

	踝关节骨折的手术治疗
其他题名	Surgical treatment of ankle fracture
	梁军 1; 于建华 2; 郑得志 2
来源期刊	中华骨科杂志
ISSN	0253-2352
出版年	2002
卷号	22 期号:10 页码:603-607
中文摘要	目的：总结治疗踝关节骨折的手术方法和治疗效果。方法：自1995年3月－1999年6月，手术治疗踝关节骨折82例，其其中资料完整的58例进行分析。男36例，女22例，根据Weber-AO分类B型30例，C型28例，应用改良的Baird和Jackson评分系统对其术后疗效进行评定，并将骨折类型、骨折固定方法，术后功能锻炼时间与最终功能的关系进行分析。结果：随访时间为3－52个月，平均17个月。58例疗效为：优31例，良18例，可6例，差3例，优良为84．5％，随4例长时间行走有轻微疼痛外，其余患者均无疼痛，结论：手术治疗踝关节骨折可取得满意的骨折复位和临床疗效。复位的质量与疗效密切相关，判断骨折类型和选择固定方法对于提高复位质量，改善远期疗效十分重要。
英文摘要	Objective To evaluated the surgical techniques and results of open reduction and inter-nal fixation performed for ankle fracture. Methods Eighty-two patients with ankle fracture were treated with Open reduction and internal fixation from March 1995 to June 1999. Fifty-eight patients with complete clinical data were analyzed. The patient group consisted of 36 males and 22 females. According to We-ber-AO classification, the group was made up of 30 Weber B cases,28 Weber C oases. All patients were e-valuated with modified Baird and Jackson scoring system. The relationship between final result and fracture pattern, fixation methods, the time of exercise initiation after operation were; analyzed respectively.. Results The followed-up period varied from 3 months to.52 months, with an average of 17 months. The number of patients whose results was excellent, good* fair and poor was respectively 31, 18, 6 and 3. The total percent-age of good to excellent clinical results was 84.5%. Fifty-four ankles were completely pain free and the re-mainders Had only slight :pairiilafter long time walking.; Conclusion Operative treatment may provide satis-factory firaotilre, reduction and clinical; re,sult$: for ankle fracture. Correct fracture pattern estimation and prope\| internal’fixation is of importance to achieve and tnaitain reduction, and then, to gain better long term results.
中文关键词	踝关节骨折 ; 骨折固定术 ; 外科手术 ; 治疗 ; 手术方法
英文关键词	ankle joint fracture fixation, internal treatment outcome
语种	中文
国家	中国
收录类别	CSCD
WOS类目	SURGERY
WOS研究方向	Surgery
CSCD记录号	CSCD:1087551
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/203733
作者单位	1.天津市天津医院创伤骨科, 300211; 2.天津市天津医院关节外科, 300211
推荐引用方式 GB/T 7714	梁军,于建华,郑得志. 踝关节骨折的手术治疗[J],2002,22(10):603-607.
APA	梁军,于建华,&郑得志.(2002).踝关节骨折的手术治疗.中华骨科杂志,22(10),603-607.
MLA	梁军,et al."踝关节骨折的手术治疗".中华骨科杂志 22.10(2002):603-607.