距骨外侧突骨折的诊断与治疗  

Diagnosis and Treatment in Fracture of Lateral Process of the Talus

作　　者：李荣文[1] 王建新[2] 苏涛[1] 郭炜[1] 徐光辉[1] 

机构地区：[1]山东省淄博市中心医院骨科,255036 [2]山东省淄博市中心医院麻醉科

出　　处：《中国矫形外科杂志》2004年第3期200-202,共3页Orthopedic Journal of China

摘　　要：目的 :分析总结距骨外侧突骨折的诊断治疗经验及临床效果。方法 :1983年 1月～ 2 0 0 2年 9月收治距骨外侧突骨折病例 2 3例。其中螺钉固定 17例 ,可吸收螺钉固定 4例 ,骨片切除 2例。 2例伴有距腓前韧带损伤者行韧带修复术。结果 :11例术后随访 12个月～ 7年。骨折愈合好 ,踝关节稳定 ,无疼痛感 ,均恢复正常生活及工作。结论 :对骨片较大、移位明显、影响距腓关节或距跟关节 ,或合并有内踝骨折时 ,及时手术治疗可取得良好效果 ,可避免踝关节不稳定及创伤性关节炎发生。Objective: To analyze the diagnosis and treatments in fracture of lateral process of the talus. Methods: There were 23 cases of fracture of lateral process of the talus in the hospital from Jan. 1983 to Sep. 2002, 17 cases were treated by fracture fragments removal, 4 cases by absorbable screw fixation and 2 cases by fracture fragments removal. Two cases that had injury to anterior talofibular ligaments were treated by ligament repair. Results: Eleven cases were followed up regularly after operation for 12 months to 7 years. All patients got good outcome including fracture healing, stable ankle and no pain. Conclusions: For fractures that have big fracture fragments, dislocation or influenced the talofibular or talocalcaneal joints, or with fracture of medial malleolus, early operations can lead to good outcome and prevent from unstable ankle and traumatic arthritis.

关 键 词：距骨外侧突骨折 内固定 诊断 治疗 致病机理 可吸收螺钉 骨片切除 

分 类 号：R683.42[医药卫生—骨科学]