手法复位联合夹板固定在Lauge-HansenⅡ～Ⅲ度踝部骨折脱位的临床效果研究  

Study on the clinical effect of manipulative reduction and splint in the Lauge-Hansen Ⅱ-Ⅲ ankle fracture and dislocation

作　　者：叶试南 冯爱连 马斌 李刚 阮平 温志鹏 

机构地区：[1]广东省云浮市中医院,广东云浮527300

出　　处：《中国医药科学》2014年第12期185-187,共3页China Medicine And Pharmacy

摘　　要：目的探讨手法复位联合夹板固定在Lauge—HansenⅡ～Ⅲ度踝部骨折脱位的临床效果。方法将84例踝部骨折患者分为观察组与对照组，对照组采用切开复位螺钉内固定手术进行治疗，观察组采用手法复位联合夹板固定治疗。结果观察组与对照组的手术时间分别为（61．5±9．4）min vs （36．9±7．6）min，术中出血量为（84．2±12．1）mLvs （24．3±5．8）mL，骨折愈合时间为（6．2±2．3）d vs （7．5±2．6）d，术后7周踝关节功能评分为（81．4±4．4）分vs （77．8±4．3）分，经过对比，均P〈0．05，术后10周观察组踝关节功能评分（92．4±5．1）分VS（91．8±4．9）分，P〉0．05。结论手法复位联合夹板固定在Lauge—HansenⅡ-Ⅲ度踝部骨折脱位中具有手术时间短、术中出血量少及骨折愈合时间短等特点，值得Lauge—HansenⅡ-Ⅲ度踝部骨折脱位患者应用。Objective To explore the clinical effect of manipulative reduction and splint in the Lauge-Hansen Ⅱ-Ⅲ ankle fracture and dislocation. Methods 84 cases of ankle fracture were divided into observation group and control group, the control group were treated with open reduction and internal fixation operation for treatment, observation group were treated with manipulative reduction and splint fixation. Results The operation time of the observation group and the control group respectively （61.5 ± 9.4）min, vs（36.9 ± 7.6）min, the amount of intraoperative bleeding was （84.2 ± 12.1）mL, vs（24.3 ± 5.8）mL, fracture healing time was （6.2 ± 2.3）d, vs（7.5 ± 2.6）d, after 7 weeks of ankle function score was （81.4 ± 4.4） vs（77.8 ± 4.3）points, After contrast, P 〈 0.05, group of ankle joint function were observed 10 weeks postoperative score （92.4 ± 5.1） vs（91.8 ± 4.9）, P 〉 0.05. Conclusion Manual reduction combined with splint fixation in Lauge-Hansen Ⅱ-Ⅲ ankle fracture with shorter operation time, less bleeding and short healing time of fracture dislocation, were worth treating in Lauge-Hansen Ⅱ-Ⅲ ankle fracture.

关 键 词：手法复位 夹板固定 Lauge—Hansen 踝部骨折脱位 

分 类 号：R683.42[医药卫生—骨科学]