前路锁定钢板内固定在踝关节融合术中的应用及初步评价  

Clinical application and evaluation of anterior interlocking plate internal fixation in ankle arthrodesis

作　　者：余剑[1] 赵建宁[1] 郭亭[1] 蔡滕[1] 

机构地区：[1]第二军医大学南京临床医学院(南京军区南京总医院)骨科,江苏省南京市210002

出　　处：《中国骨与关节损伤杂志》2012年第8期698-700,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的评价前路锁定钢板内固定在踝关节融合术中的临床应用及疗效。方法收治各类踝关节终末期病变21例,踝前部皮肤、软组织条件均良好。采用踝关节前正中手术入路暴露踝关节前方,凿除踝关节软骨面,摆正踝关节体位,取肱骨近端或胫骨近端锁定钢板于踝关节前方行内固定。结果所有患者随访6～47个月,X线片示踝关节全部融合。按AOFAS踝-后足功能评价系统,本组优15例,良6例。结论前方入路锁定钢板内固定技术具有操作简单、暴露充分、避免额外截骨、固定牢靠等优点,融合率高,矫形力强,并发症少,能够较好恢复和维持踝关节的正常外形,尤其适合于合并畸形、关节周围骨缺损及骨质疏松等各类复杂踝关节终末期病变。Objective To evaluate the the clinical application and efllcacy of anterior approach plus internal fixation with interlocking plate in ankle arthrodasis. Methods From January 2007 to February 2011, twenty-one patients with end-stage disease of ankle joint were treated, and the skin and soft tissue conditions before the ankle were time. All received operations including following steps： exposed the ankle with the anterior approach,chiseled to the ankle joint cartilage, straightened position of the ankle, made internal fixation with interlocking plate to ankle. Results All patients were followed up for 6 to 47 months, X-ray showed that full integration of ankle. According to the AOFAS assessment of anHe-foot functions, in this groups, 15 cases were exceUent,6 cases were good. Conclusion The anterior approach plus internal fixation with interlocking plate in ankle arthrodesis have the advantages of simple operating, completely exposing, rigid fixing, avoiding osteotomy, which leads to high rate of fusion and correction and low rate of complication. In conclusion, this technique could correct deformity of ankle and maintain the stability excellently, and so it is applicable for end-stage disease of ankle with, deformity, bone defect or osteoporosis.

关 键 词：踝 踝关节融合术 锁定钢板 内固定 临床应用 前路手术 

分 类 号：R687.4[医药卫生—骨科学]