摘要
采用手法整复小夹板外固定(A组)、手法整复石膏外固定(B组)、手术内固定加石膏外固定(C组)等不同方法治疗踝部骨折84例,优良率分别为80.0％、76.1％、83.3％。对踝部骨折治疗方法及内固定方式的选择进行了讨论,并提出了外踝骨折与下胫腓分离的处理措施。认为外踝在踝关节组成中起着非常重要的作用,对于下胫腓分离的处理固定外踝比固定下胫腓联合疗效好。
Eighty-four cases of ankle fracture were divided into 3 groups and treated by 3 methods: manual closed reduction and splint fixation (Group A), manual closed reduction and external plaster fixation (Group B) and open internal plus external plaster fixation (Group C). The excellent-good rate of the three groups was 80.0%, 76.1% and 83.3%, respectively. In the paper, the selection of treatment method and internal fixating means for ankle fracture is discussed, and the management measures are advanced for lateral-malleolus fracture and distal-tibiofibular dissociation. It is considered that the lateral malleolus plays an important role in the ankle composition and the lateral-malleolus fixation for the distal tibiofibulatr dissociation obtains better therapeutic effects than the distal-tibiofibular-symphysis fixation.
出处
《中医正骨》
1993年第2期14-15,共2页
The Journal of Traditional Chinese Orthopedics and Traumatology
关键词
骨折
踝骨
正骨手法
FRACTURE, ANKLE/TREATMENT
