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斜T型钢板在累及内踝后丘及后踝的踝关节骨折中的应用 预览 被引量:5

Application of oblique type T plate in ankle fractures involving medial malleolous posterior colliculus and posterior malleolus injuries
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摘要 目的探讨斜T型钢板在累及内踝后丘及后踝的踝关节骨折中的治疗效果。方法自2009年1月~2013年12月,采用斜T型锁定滑动钢板治疗累及内踝后丘及后踝的踝关节骨折17例。11例伤后6小时内急诊手术,6例伤后4天内手术,手术采用踝关节后外侧切口加辅助后内侧切口。结果 17例获随访,随访时间12~24个月,切口均正常愈合,骨折愈合时间6~10周。术后一年采用AOFAS踝-后足评分,平均92.6分。结论使用斜T型钢板治疗累及内踝后丘及后踝的踝关节骨折可以有效防止内踝后丘骨折术后的再移位,起到阻挡作用,并可早期功能锻炼。 Objective To explore the clinical effect using oblique T-shaped plate in the treatment of ankle fractures involving medial malleolous posterior colliculus and posterior malleolus injuries. Methods From January 2009 to December2013, 17 cases of ankle joint fracture with medial malleolous posterior colliculus and posterior malleolus injuries were treated using oblique T-shaped locking plates, 11 cases was operated within 6 hours post-traumaticly, 6 cases within 4days. The surgeries were performed through the posterior lateral malleolus approach combined with posterior medial malleolus approach. Results All 17 cases had been followed-up for an average of 14 months(range, 12 to 24 months). All incisions were healed normally. Bone union was apparent radiographically within an average of 7 weeks(range, 6 to10weeks) after surgery. The mean AO-FAS score improved to an average of 92.6 points after one year postoperatively.Conclusions It is effective to avoid the re-displacement of medial malleolus posterior colliculus in the treatment of the ankle fracture with posterior malleolus injuries using oblique T-shaped plate; It also permit early excises immediately after surgery due to rigid fixation and reduces the risk of traumatic arthritis.
作者 孙泽毅 付备刚 王秀会 Sun Zeyi;Fu Beigang;Wang Xiuhui;Department of Orthopedics,Zhoupu Hospital of Shanghai Pudong New District;
出处 《生物骨科材料与临床研究》 CAS 2015年第1期24-26,共3页 Orthopaedic Biomechanics Materials and Clinical Study
基金 上海市医学重点专科资助项目(编号:ZK2012B03)
关键词 斜T钢板 内踝后丘 后踝 骨折 Helical T plate Posterior collicular fracture Posteriormalleolar
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参考文献9

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