21例距骨骨折脱位的外科治疗  

Surgical therapy for treating the fracture and dislocation of talus in 21 patients

作　　者：陈友浩[1] 李章华[1] 崔西龙[1] 刘天舒[1] 柳铭[1] 赵胜豪[1] 

机构地区：[1]武汉大学人民医院骨一科,武汉430060

出　　处：《国际外科学杂志》2011年第3期163-165,共3页International Journal of Surgery

摘　　要：目的探讨分析急诊外科治疗距骨骨折脱位的疗效。方法回顾分析武汉大学人民医院自2004年1月-2010年1月收治的21例距骨骨折伴脱位患者，均急诊切开复位，松质骨螺钉固定，术后中立位管形石膏固定、保持患肢不负重，视复查X片情况进行功能锻炼。结果21例患者经急诊手术治疗后随访6个月～3．8年，根据美国足踝外科医师协会（AOFAS）踝-后足评分标准进行评估，优良率为61．91％。结论距骨骨折脱位经急诊手术、解剖复位、有效内固定、术后不负重管形石膏固定等治疗，效果优良，并发症发病率低。Objective To evaluate the surgical therapy on dislocated fracture of talus. Methods Retrospective analysis was mode in 21 patients with dislocated fracture of talus collected from Jan. 2004 to Jan. 2010, which were treated with open reduction, cannulated screw fixation, and kept neutral position plaster fixation with no weight loading, to do functional exercise depending on the X film demonstrations. Results All the patients were followed up from 6 months to 3.8 years post- operation, and according to the evaluation standard by American Foot-Ankle Surgery Society, good rate was 61.91%. Conclusion Treating dislocated fracture of talus with emergency operation, anatomical reduction, valid internal fixation and no weight loading plaster fixation post-operation, shows good effect with low rate of complication.

关 键 词：距骨 骨折 脱位 外科治疗 

分 类 号：R687.3[医药卫生—骨科学]