选择性经皮内固定治疗三踝骨折  

Percutaneous internal fixation for treatment of uncomminuted ankle fractures

作　　者：王伯珉[1] 王甫[1] 周东生[1] 孙占胜[1] 

机构地区：[1]山东大学附属省立医院创伤骨科,济南250021

出　　处：《中华创伤杂志》2008年第5期344-346,共3页Chinese Journal of Trauma

摘　　要：目的探讨有选择性地采用经皮内固定方法治疗三踝（内踝、外踝、后踝）非粉碎性骨折的临床疗效。方法在x线机透视下，经皮钳夹、撬拨复位，以螺钉、空心螺钉、克氏针等经皮内固定。共治疗26例；年龄20-55岁，平均35．2岁。随访时间12—24个月，平均14个月。结果本组患者骨折全部愈合，临床愈合时间8—24周，平均10．3周，无皮肤坏死、感染、内固定物松动等；按Bourne评分标准：优15例，良9例，可2例，优良率92％。结论经皮内固定术适用于横形、斜形等非粉碎性的三踝骨折，尤其是局部肿胀明显、皮肤条件较差者，其创伤小、康复快。但要有选择性地应用。Objective To evaluate the result of percutaneous internal fixation in treatment of uncomminuted ankle fractures （ inner malleolus, external malleolus and ventral condyle）. Methods A total of 26 patients with uncomminuted ankle fractures at age range of 20-55 years （ mean 35.2 years） were treated with closed reduction and percutaneous internal fixation by screws, cannulated screws or Kirschuer pins under C-arm X-ray scan. All patients were followed up for 12-24 months （ mean 14 months）. Results All fractures were healed successfully, with healing time of 8-24 weeks （ mean 10. 3 weeks）. According to Bourne Standard, excellent ankle function results were reported in 15 patients, good in 9 and fair in 2, with excellence rate of 92%. There was no implant failure, postoperative infection or dehiscence. Conclusions With advantage of early rehabilitation and minor incision of the affected ankles, closed reduction and percutaneous internal fixation can be selected for transverse or oblique uncomminuted ankle fractures, especially for those patients with severe swelling or skin injury.

关 键 词：踝关节 踝损伤 选择性经皮内固定 骨折 

分 类 号：R687.3[医药卫生—骨科学]