踝关节骨折脱位手术治疗158例分析  

Analyses of 158 cases of ankle joint fracture-dislocation for surgical treatment

作　　者：邵顺建[1] 宋展昭[1] 徐朋[1] 陈峰[1] 

机构地区：[1]解放军第四○一医院,山东青岛266071

出　　处：《海军医学杂志》2004年第2期129-131,共3页Journal of Navy Medicine

摘　　要：目的 :探讨踝关节骨折脱位治疗技术。方法 :本组踝关节骨折脱位患者 15 8例 ,按LANGEHANSEN分型 :旋前外展 4 3例 ,旋前外旋 19例 ,旋后内收 2 8例 ,旋后外旋 5 4例 ,垂直压缩 14例。采用螺钉、骨圆针、钢板固定。随访 2～ 6年。结果 :优 79例 ,良 4 7例 ,一般 19例 ,差 13例 ,优良率 79.7%。结论 :骨折解剖复位 ,韧带断裂修补 ,坚强内固定 ,早期功能锻炼 ,是关节功能恢复之关键。Objective: To investigate surgical approach to ankle joint fracture-dislocation. Methods: A total of 158 cases were classified by using LANGE-HANSEN method into 5 categories, i.e. the pronation-adduction type (43 cases), the pronation-eversion type (19 cases), the supernation-adduction type (28 cases), the supernation-eversion type (54 cases) and the compression type (14 cases). Internal fixations were made by using screws, Kirshner wiles and steel plates. Results: A 2-year follow-up showed satisfactory results, 79 cases with excellent results, 47 with good results, 19 with fairly good results, and 13 with poor results. Total excellent rate was 79.7%. Conclusion: Anatomical reduction of fracture, restoration of ligament rupture, solid internal fixation and early function exercises are key to joint function recovery.

关 键 词：踝关节 骨折脱位 手术治疗 

分 类 号：R683.42[医药卫生—骨科学]