踝部骨折126例的分型治疗  

Classification and treatment of ankle fracture 126 cases

作　　者：李继忠[1] 李林[1] 王斌[1] 张晓[1] 韩田浦[1] 

机构地区：[1]黄河水利委员会黄河中心医院骨科,郑州450003

出　　处：《医药论坛杂志》2011年第15期94-96,共3页Journal of Medical Forum

摘　　要：目的总结踝部骨折的分型特点，探讨骨折类型对踝穴稳定性的影响，以及对临床治疗的指导作用，规范治疗方法，提高手术效果。方法自2003年12月-2010年12月，对126例踝部骨折进行治疗，根据Danis—Weber分类：A型21例，B型75例，C型30例。A型20例、B型18例采取石膏外固定等保守治疗，余88例采取手术治疗。结果126例均获随访，随访时间6个月～7年，平均3年2个月，骨折全部愈合。保守组：优良35例，可3例，优良率92．1％。手术组：优良76例，可8例，差4例，优良率86．4％。结论外踝是维持踝关节稳定的重要因素，踝部骨折应根据踝穴的稳定性进行治疗。Danis—weber分型较好的解释了骨折的形态及与踝穴的稳定性的关系，具有较好的临床指导价值。Objective To summarize the ankle fracture type characteristic, fracture type on the ankle mortise stability, as well as to the clinical treatment of guidance, standard treatment, improve operation effect. Methods Since 2003 December--2010 December, on 126 patients with ankle fracture treatment, according to the Danis - Weber classification ： type A in 21 cases, type B 75 cases, type C 30 cases. 20 cases of type A and 18 cases of type B take plaster external fixation in conservative treatment, 88 cases treated by operation. Results Totally 126 cases were followed up, follow - up time of 6 months to 7 years, mean 3 years and 2 months, all fractures healed. The conservative group ： 35 cases were excellent and good, 3 cases were fair, the excellent and good rate was 92. 1%. Operation group： 76 cases were excellent and good , 8 cases were fair, 4 cases were poor, the excellent and good rate was 86. 4%. Conclusions Lateral malleolus is an important factor to maintain ankle stability, fracture of the ankle should be based on the ankle mortise stability treatment. Danis - weber typing can better explain the fracture morphology and the stability of the ankle mortise and it has good clinical value.

关 键 词：踝部骨折 Danis—weber分型 踝穴 稳定 

分 类 号：R683.42[医药卫生—骨科学]