骨外固定支架技术在踝关节融合与矫形中的应用  

Application of external fixation in ankle joint arthrodesis

作　　者：谢鸣[1] 黄若昆[1] 方真华[1] 赵晶晶[1] 李静[1] 肖凯[1] 勘武生[1] 

机构地区：[1]华中科技大学同济医学院附属普爱医院足踝外科,武汉430033

出　　处：《中华创伤骨科杂志》2011年第6期526-529,共4页Chinese Journal of Orthopaedic Trauma

摘　　要：目的探讨骨外固定支架技术存踝关节融合与矫形中的疗效。方法2001年1月全2009年6月采用外同定支架技术治疗27例踝关节创伤性患耆，男18例，女9例；年龄32～68岁，平均41岁。其中创伤性关节炎13例，地方性人骨节病3例，骨天节炎5例，结核性踝关节炎2例，踝关节置换术后失败3例，骨髓炎1例。为保证对骨加压接触行外固定支架固定。结果所有患者术后获6～38个月（平均10个月）随访。随访发现关节无肿胀和疼痛，行走步态和功能明显改善，X线片示关节均获骨性融合。结论外崮定支架技术用于踝关节融合率高，对踝关节感染及复合足踝关节畸形有一定优势性。Objective To study the curative effect of external fixation in ankle joint arthrodesis. Methods From January 2001 to June 2009, we used external fixation in arthrodesis for 27 cases of traumatic ankle joint. They were 18 males and 9 females, with an average age of 41 years （range, 32 to 68 years） . There were 13 cases of＇ traumatic osteoarthritis of the ankle joint, 3 cases of local kaschin beck disease, 5 cases of ankle osteoarthritis, 2 cases of tubereulous ankle arthritis, 3 cases of ankle replacement tailure, one case of osteomyelitis. Fibular flap grafts were used in 8 cases, bone autografts in 11 cases, bone allografts in 2 cases, and combined bone grafts in 11 cases. External fixation was applied for all cases to ensure compressive contact between bone ends. Results The patients were followed up for 6 to 38 months （average, 10 months）. No pain or swelling was found at the ankle joint. Significant improvements were made in walking gait and function of the ankle. X-ray films verified bony fusion in all cases. Conclusion External fixation can lead to a high rate of bony fusion of the ankle joint, and is advantageous for treatment of ankle infection and combined deforruity of the ankle and foot.

关 键 词：踝关节 关节融合术 外固定器 

分 类 号：R687.3[医药卫生—骨科学]