胫距关节稳定术治疗踝关节骨折  

Treatment of ankle fractures with tibiotalar joint stabilization

作　　者：张萌 颜祥林 ZHANG Meng;YAN Xiang-lin(Dept of Orthopaedics,Xinshao County Hospital of Traditional Chinese Medicine,Shaoyang,Hunan 422900,China)

机构地区：[1]新邵县中医医院骨科,湖南邵阳422900

出　　处：《临床骨科杂志》2024年第6期890-892,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨胫距关节稳定术治疗踝关节骨折的疗效。方法采用胫距关节稳定术治疗36例踝关节骨折患者。记录术中出血量、手术时间、术后并发症发生情况、踝关节活动度。采用AOFAS踝-后足评分评价疗效。结果患者均获得随访,时间2~9个月。术中出血量30~190(72.05±17.59)ml,手术时间42~75(48.29±9.46)min。术后未发生距骨坏死、创伤性踝关节炎等并发症。骨折均愈合,时间2.0~3.5个月。末次随访时,踝关节活动度:背屈24°~27°,跖屈42°~47°;采用AOFAS踝-后足评分评价疗效:优23例,良7例,可6例,优良率83.33%(30/36)。结论胫距关节稳定术治疗踝关节骨折操作简单,减少了手术创伤,减轻了患者的经济负担,疗效满意。Objective To investigate the effect of tibiotalar joint stabilization in the treatment of ankle fracture.Methods Thirty-six cases of ankle fractures were treated with tibiotalar joint stabilization.The volume of intraoperative blood loss,operative time,postoperative complications and ankle range of motion were recorded.AOFAS ankle-hindfoot score was used to evaluate the efficacy.Results All patients were followed up for 2~9 months.The volume of intraoperative blood loss was 30~190(72.05±17.59)ml,and the operative time was 42~75(48.29±9.46)min.No complications such as talus necrosis and traumatic ankle arthritis occurred after operation.All fractures healed within 2.0~3.5 months.At the last follow-up,the range of motion of ankle joint:dorsiflexion was 24°~27°,plantar flexion was 42°~47°;the AOFAS ankle-hindfoot score was used to evaluate the effect:excellent in 23 cases,good in 7,fair in 6,the excellent-good rate was 83.33%(30/36).Conclusions The operation of tibiotalar joint stabilization in the treatment of ankle fracture is simple,which reduce the surgical trauma and the economic burden of patients,the effect is satisfactory.

关 键 词：胫距关节稳定术 踝关节骨折 

分 类 号：R683.42[医药卫生—骨科学] R684.7[医药卫生—外科学] R687.4[医药卫生—临床医学]