腓骨解剖型钩钢板治疗外踝骨折28例临床分析.docx

腓骨解剖型钩钢板治疗外踝骨折28例临床分析 摘要：目的探讨腓骨解剖型钩钢板治疗外踝骨 折的临床效果及总结治疗经验。方法2011年2月? 2013年4月，对28例伴外踝骨折进行手术切开复位腓 骨钩钢板内固定手术。对术后踝关节功能进行评分， 并观察术后并发症的发生情况,如伤口感染、内固定失 效、骨折不愈合等。结果随访8?24个月，本组病例骨 折全部愈合,Mazur[ 1 ]评分为65分?99分，平均为： 91.25分,其中优21例，良4例，可3例，优良率：89.29%。 结论外踝骨折手术治疗强调恢复外踝正常外翻角度和 长度等解剖结构，稳定有效固定骨折，早期功能锻炼。腓 骨解剖型钩钢板可很好的达到手术治疗外踝骨折的手 术要求。 关键词：外踝骨折；腓骨钩钢板；骨折内固定术 Clinical Analysis on 28 Cases of External Ankle Fractures Treated by the Fibular Anatomical Hook Plate BU Han, JIANG Ji-zhao, CHAO Jian-bin, MA Shao-yun (Department of Orthopaedics,Zhuhai Hospital,Guangdong Province Traditional Chinese Medical Hospital,Zhuhai 519000,Guangdong,China) Abstract： ObjectiveTo discuss the treatment of the clinical effect about fibular anatomical hook plate used in external ankle fracture and summarize the treatment experience ?MethodsFrom February 2011 to April 2013, 28 patients with external ankle fractures with open reduction and fibula hook plate internal fixation surgery.Rate of postoperative ankle function, And observation of postoperative complications,Such as wound infection, internal fixation failure and fracture non-unions, etc.ResultsFollowed up for 8 to 24 months,The fracture cases were healing,Score of 65 ?99 minutes, on average: 91.25 minutes,the excellent 21 cases,the good 4 cases, can be in 3 cases, fine rate: 89.29%? ConclusionExternal ankle bone fracture surgery treatment emphasis on external ankle normal valgus angle and length of anatomical structures,stable and effective fracture fixation, early function exercise.The fibular anatomical hook plate can achieve very good external ankle fractures treated by surgical operation requirements ? Key words： External ankle fractures;Fibular hook plate;Internal fixation of fracture 踝关节是下肢主要负重的关节之一，所以对踝关 节骨折的解剖复位、有效固定及早期活动就显得尤为 重要。外踝骨折是踝关节骨折中最为常见的骨折类型, 更是踝关节骨折稳定性治疗的关键［2］。我们2011年 2月?2013年4月，对28例伴外踝骨折进行手术切开 复位腓骨钩钢板内固定手术。取得满意疗效，报道如 下: 1资料与方法 1.1 一般资料本组病例28例，男17例，女11例， 平均44.2岁。均为闭合性骨折。入院前已拍摄踝关节 正侧位X光片。术前结合临床查体进行小腿全长正侧 位片检查,均进行踝关节CT平扫及三维重建。依据 Danis-Weber