手法复位夹板固定治疗Ⅱ度以上踝关节骨折脱位  

Treatment of degree Ⅱ or more than Ⅱ fracture and dislocation of the ankle with manual reduction combined with splint fixation

作　　者：陈民[1] 林学波[1] 郑秋坚[1] 彭汉士[1] 

机构地区：[1]广东省人民医院正骨科,广东广州510010

出　　处：《中国骨伤》2004年第9期538-539,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的 :总结踝关节骨折脱位中医正骨治疗方法的治疗效果。方法 :自 1999年 1月 - 2 0 0 2年7月 ,以手法复位改良夹板固定治疗Ⅱ度以上踝关节骨折脱位 96例并进行随访。男 74例 ,女 2 2例。按Lauge Hansen分型 :Ⅱ度 5 5例 ,Ⅲ度 30例 ,Ⅳ度 11例。根据Baird和Jackson的主观和X线踝关节评分系统对其疗效进行评定和分析。结果 :随访 5～ 12个月 ,平均 8个月。 96例总优良率为 88 6 % ,除 3例患者长时间行走疼痛外 ,其余均无疼痛。结论 :手法复位夹板固定治疗踝关节骨折脱位可取得良好的效果。熟练的复位技巧、可靠的夹板固定和注意保持治疗过程中的骨折的稳定对提高远期疗效非常重要。Objective:To evaluate the techniques and results of ankle fracture and dislocation treated with Traditional Chinese Medical orthopedics.Methods:Ninety-six patients with degree Ⅱ or more than Ⅱ ankle fracture and dislocation were treated with manual reduction and splint fixation,which were followed up and analyzed.The patient group consisted of 74 males and 22 females.According to Lauge-Hansen classification,55 cases were of degree Ⅱ,30 degree Ⅲ and 11 degree Ⅳ.All the patients were evaluated with Barid and Jackson scoring system.Results:All the patients were followed up from 5 to 12 months,with an average of 8 months.The total percentage of good and excellent clinical results of 96 patients was 88.6%.Three patients had only slight pain after long time walking,the others without pain.Conclusion:Manual reduction and splint fixation has good clinical results in treating ankle fracture and dislocation.Good manual skill,dependable splint fixation and notice to keep fracture stable in treating period are very important to get better long-term results.

关 键 词：治疗过程 踝关节骨折脱位 夹板固定 手法复位 疼痛 随访 中医正骨 主观 根据 平均 

分 类 号：R683.42[医药卫生—骨科学] R274[医药卫生—外科学]