切开复位克氏针经皮固定治疗Chopart关节脱位的短期疗效分析  

Short term results of open reduction and percutaneous Kirschner wire fixation for Chopart joint dislocation

作　　者：黄煊怀[1] 李春[1] 黎宇[1] 陈志伟[1] HUANG Xuan-huai;LI Chun;LI Yu;CHEN Zhi-wei(Department of Bone Joint Surgery,the First Affiliated Hospital of University of South China,Hengyang 421001,Hunan,China)

机构地区：[1]南华大学附属第一医院骨外科,湖南衡阳421001

出　　处：《中国骨伤》2019年第1期72-76,共5页China Journal of Orthopaedics and Traumatology

摘　　要：目的 :探讨切开复位克氏针经皮固定治疗Chopart关节脱位的短期临床疗效。方法:自2014年8月至2017年8月,采用切开复位克氏针经皮固定治疗13例Chopart关节脱位患者,男7例,女6例;年龄13～58岁。术后12个月采用美国足踝矫形外科协会(AOFAS)中足评分及视觉模拟评分(VAS)进行疗效评价。结果:所有患者获得随访,时间8～24个月。术后12个月AOFAS评分65～99;优8例,良4例,可1例;VAS评分0～4。所有切口Ⅰ期愈合,愈合时间12～16 d。术后未见皮肤坏死、感染、克氏针断裂等并发症,1例术后4周出现克氏针松动。结论:切开复位结合克氏针内固定对于Chopart关节脱位能明显缓解疼痛,改善功能活动,短期满意疗效。Objective:To investigate short-term clinical efficacy of open reduction and percutaneous Kirschner wire fixation for Chopart joint dislocation.Methods:From August 2014 to August 2017,13 patients with Chopart joint dislocation were treated by open reduction and percutaneous Kirschner wire fixation,including 7 males and 6 female aged from 13 to 58 years old.American Orthopaedic Foot and Ankle Society(AOFAS)criteria system and visual analogue scale(VAS)were applied to evaluate function of foot and ankle at 12 months after operation.Results:All patients were followed up from 8 to 24 months.AOFAS score at 12 months after operation ranged from 65 to 99;8 cases got excellent results,4 good and 1 moderate.VAS score ranged from 0 to 4.All wounds were primary healed from 12 to 16 days,and no skin necrosis,infection,Kirschner broken,or other complications occurred.One patient occurred Kirschner's wire loosening at 4 weeks after operation.Conclusion:Open reduction and percutaneous Kirschner wire fixation for Chopart joint dislocation could relieve pain and improve functional activities and obtain satisfactory short-term clinical results.

关 键 词：踝关节 脱位 骨折切开复位 

分 类 号：R684.7[医药卫生—骨科学]