关节镜辅助下微创治疗踝部骨折  

Arthroscopic assisted minimally invasive treatment of ankle fractures

作　　者：胡江华[1] 陈中[2] 贺振年[1] 张斌[1] 

机构地区：[1]浙江大学医学院附属第一医院北仑分院骨科,浙江宁波315806 [2]浙江大学医学院附属第一医院骨科,浙江杭州310008

出　　处：《临床骨科杂志》2012年第3期317-319,共3页Journal of Clinical Orthopaedics

基　　金：浙江省基层卫生适宜技术转化应用课题(编号:2010ZHB002)

摘　　要：目的探讨关节镜辅助下微创治疗踝部骨折的方法和疗效。方法对18例踝部骨折患者在关节镜辅助下进行软骨损伤、滑膜炎、韧带撕裂修复、清理、骨折复位和固定。结果 18例均获随访,时间3个月～2年。根据Mazur踝关节评价分级系统评分:优15例,良2例,可1例。结论关节镜辅助下微创治疗踝部骨折应重视关节软骨及韧带损伤的治疗,并确保关节面的解剖复位。其切口小,术后恢复快,可减少术后创伤性关节炎的发生率。Objective. To investigate the treatment of fractures of the ankle arthroscopy methods and curative effect. Methods 18 cases of ankle fracture patients with cartilage injury, synovitis, ligament injury were treated with in arthroscopic repair, cleaning, fracture reduction and fixation. Results 18 cases were followed up for 3 months to 2 years. Postoperative results were accessed according to Mazur ankle evaluation grading system score： excellent in 15 cases, good in 2, and fair in 1. Conclusions Arthroscopic assisted minimally invasive treatment of ankle fractures should attach importance to the articular cartilage and ligament injury treatment, to ensure that the anatomical reduc- tion of the articular surface. The incision is smaller, faster postoperative recovery, can reduce the postoperative incidence of traumatic arthritis.

关 键 词：踝关节骨折 关节镜检查 

分 类 号：R683.42[医药卫生—骨科学] R684.77[医药卫生—外科学]