摘要
报告５６例新鲜距骨颈骨折脱位，按Ｈａｗｋｉｎ分类法分Ⅱ型骨折３２例，均采用闭合复位，经皮钢针内固定；Ⅲ型骨折２４例，闭合复位成功６例。随访时间最短１９个月，最长１１年，平均５年６个月．Ⅱ型骨折疗效优良率１００％，距骨体缺血性坏死１５．６％；Ⅲ型骨折疗效优良率６６％，距骨体缺血性坏死率８３％，创伤性关节炎发生率２５％。强调早期减少损伤的准确复位及可靠的固定。Ⅱ型骨折不用切开复位；Ⅲ型分析合并内踝骨折时，首先闭合复位；闭合复位失败者可行切开复位内固定；切开复位时，主张作内踝截骨入路。
Fifty-six cases of fresh talar-neck fracture-dislocation are reported in this paper. According to Hawkin's classification, all the cases were divided into: 32 cases of type Ⅱ treated by closed reduction and percutaneous wire internal fixation and 24 cases of type Ⅲ, 6 of which were successfully treated by closed reduction. The follow-up ranged from 19 to 132 months and averaged 66 months. The results included: 100% of the excellent-good rate and 15.6% of the incidence of ischemic talar-body necrosis in type-Ⅱ cases; 66% of the excellent-good rate , 83% of the incidence of ischemic talar-body necrosis and 25% of the incidence of traumatic arthritis in type-Ⅲ cases. In treatment early accurate reduction with less injury was emphasized. Type-Ⅱ cases needed no open reduction; type-Ⅲ cases should be treated first by closed reduction but the failed cases of them should be treated by open reduction and internal fixation through the osteotomed internal malleolus.
出处
《中医正骨》
1996年第5期5-6,共2页
The Journal of Traditional Chinese Orthopedics and Traumatology
关键词
距骨颈骨折脱位
治疗
中医正内术
fracture-dislocation.talar neck/treatment
TCM bonesetting
clinical study
