切开复位内固定治疗踝关节骨折疗效分析  

Treatment effect of the ankle joint fractures by open reduction and internal fixation

作　　者：王法正[1] 张军[1] 梁志林[1] 阿布都热依木.艾尼 

机构地区：[1]喀什地区第一人民医院骨二科,新疆喀什844000

出　　处：《新疆医科大学学报》2013年第3期358-360,共3页Journal of Xinjiang Medical University

摘　　要：目的探讨切开复位内固定治疗踝关节骨折的临床疗效。方法选择喀什地区第一人民医院2004年1月—2012年1月踝关节骨折164例,均采用切开复位内固定治疗并对治疗结果进行分析。结果获随访162例,平均随访6～24个月,平均12.5个月,根据Baird疗效评定标准,优140例,良19例,可3例,差0例,优良率为98.15%。结论在踝关节骨折治疗过程中,良好的复位、稳固的内固定以及有序的术后锻炼是取得满意疗效的关键,而重视下胫腓联合固定,也是决定手术成败的重要因素。Objective To investigate the clinical efficacy of the ankle joint fractures by open reduction and internal fixation. Methods One hundred and sixty four cases with ankle fractures were treated by opera tion since 2004 January to 2012 January in First Pepole＇s Hospital of Kashi. Open reduction and internal fixation treatment and treatment results were analyzed. Results One hundred and sixty two cases were followed up for 6 months to 24 months, the average was 12.5 months, according to Baird efficacy evalua tion standards, excellent in 140 cases, good in 19 cases, 3 cases, poor in 0 case, the excellent and good rate was 98.15%. Conclusion In ankle fracture＇s treatment process, good reduction, stable internal fixa tion during operation and orderly postoperative exercise is the key to achieve a satisfactory effect, besides the treatment of inferior tibiofibular joint, is also important factors to determine the success of surgery.

关 键 词：踝关节 骨折 内固定 

分 类 号：R687.4[医药卫生—骨科学]