摘要
目的探讨闭合复位经皮空心螺钉内固定选择性治疗后踝骨折的手术方法、适应证及临床效果。方法回顾性分析2004年7月至2010年4月期间采用闭合复位经皮空心拉力螺钉内固定治疗42例成人后踝骨折的临床资料,其中旋后-外旋型28例,旋前-外旋型6例,旋前-外展型8例。采用X线片评估骨折愈合率,采用美国足踝骨科协会（AOFAS）推荐的足踝评分系统评估踝关节功能。结果平均随访22个月（6~75个月）,骨折愈合时间为6~12周。按AOFAS足踝评分系统评分,平均为96分（78~100分）,优41例,可1例,优良率为97.6%。结论闭合复位经皮空心螺钉内固定是一种可用于治疗后踝骨折的微创术式,具有骨折愈合快,骨折愈合率高,踝关节功能好的优点。
Objective To investigate the indication and efficacy of close reduction and percutaneous internal fixation with hollow screws in the treatment of posterior malleolus fractures.Methods The clinical data of 42 cases of posterior malleolus fracture treated by this method from July,2004 to April,2010 were retrospectively analyzed,including 28 cases of supination-eversion fractures,6 cases of pronation-eversion fractures and 8 cases of pronation-abduction fractures.The fracture healing rate was assessed by X-ray film and the function of the ankle joint was evaluated by foot and ankle scoring system recommended by American Orthopedic Foot Ankle Society（AOFAS）.Results The follow-up averaged for 22 months（6～75 months）.The fracture healing time ranged form 6 to 12 weeks.According to the results of foot and ankle function scores,the average score was 96 points（78～100 points）,including 41 cases of excellence and 1 case of fairness,the rate of excellent and good amounting to 97.6%.Conclusion With the advantage of quick recovery,high healing rate and better healing effect,close reduction and percutaneous internal fixation with hollow screws is feasible in the treatment of posterior malleolus facture.
出处
《局解手术学杂志》
2011年第1期45-47,共3页
Journal of Regional Anatomy and Operative Surgery
关键词
后踝骨折
关节内骨折
骨折内固定术
空心螺钉
微创手术
posterior malleolus fractures
intra-articular fracture
internal fixation
hollow screw
minimally invasive surgery
