外固定结合运动疗法治疗下胫腓联合损伤的效果分析  

Effect of external fixation combined with exercise therapy in the treatment of distal tibiofibular syndesmosis injury

作　　者：何利雷[1] 陈逊文[1] 赵立连[1] 张朝鸣[1] 邹运旋 范伟锋[1] 李灿杨[1] 谭国昭[1] 

机构地区：[1]广东省佛山市中医院骨伤科中心,广东佛山528000

出　　处：《中国当代医药》2017年第4期99-101,105,共4页China Modern Medicine

基　　金：广东省佛山市卫生和计生局医学科研课题(2015202)

摘　　要：目的观察不同外固定方法结合运动疗法治疗下胫腓联合损伤的临床效果。方法将2013年6月~2015年6月收集的佛山市中医院40例下胫腓联合损伤患者,通过随机数字表法分为观察组(20例)和对照组(20例),分别接受超踝杉树皮小夹板固定和U形石膏托固定,同时结合运动疗法治疗,采用Kofoed评分、AOFAS踝-后足评分量表对患者受伤踝关节初诊、伤后2周、伤后2个月、伤后6个月的功能进行评价,复查X线片评价下胫腓联合是否分离。结果两组Kofoed评分、AOFAS踝-后足评分比较,差异无统计学意义(P>0.05),两组均无下胫腓联合分离,但杉树皮小夹板舒适性较好且利于早期消肿。结论两种外固定方法结合运动疗法治疗下胫腓联合损伤均可获得良好效果,但中医杉树皮小夹板具有较好的舒适性和有利于早期消肿及关节微动的优点,值得临床推广应用。Objective To observe effect of different external fixation combined with exercise therapy in the treatment of distal tibiofibular syndesmosis injury.Methods 40 patients of distal tibiofibular syndesmosis injury in Foshan Hospital of TCM from June 2013 to June 2015 were collected and divided into observation group（20 cases） and control group（20 cases） by random number table method.Patients were treated with wood splint or U-shaped plaster combined with exercise therapy respectively,Kofoed Scale and AOFAS Ankle Hindfoot Scale were used to evaluate the function of injured ankle joint at the first visit,2 weeks,2 months,6 months after injury,and X-ray was used to evaluate whether distal tibiofibular syndesmosis diastasis.Results There was no statistical difference of Kofoed Scale and AOFAS Ankle Hindfoot Scale（P〉0.05） between two groups,and no patient had distal tibiofibular syndesmosis diastasis,but wood splint had better comfort and benefit early swelling.Conclusion The two kinds of external fixation combined with exercise therapy have good effect in treating distal tibiofibular syndesmosis injury.The external fixation of wood splint is more comfort,more beneficial for decreasing the swelling.It is good to popularize this therapy in clinical practice.

关 键 词：下胫腓联合损伤 杉树皮小夹板 外固定 石膏托 

分 类 号：R274.9[医药卫生—中西医结合]