[1]向福辉 陈波涛 胡昆伦△.两种钢板在Danis-Weber B型骨折中处理外踝骨折的比较研究[J].中国中医骨伤科杂志,2016,24(07):26-29.
　XIANG Fuhui CHEN Botao HU Kunlun.Comparative Research of Two Kinds of Plates in Danis-Weber B Ankle Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(07):26-29.
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两种钢板在Danis-Weber B型骨折中处理外踝骨折的比较研究
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年07期
页码:
26-29
栏目:
临床研究
出版日期:
2016-07-15

文章信息/Info

Title:
Comparative Research of Two Kinds of Plates in Danis-Weber B Ankle Fracture
文章编号:
1005-0205(2016)07-0026-04
作者:
向福辉1 陈波涛2 胡昆伦2△
1.重庆丰都县中医院骨科(重庆 丰都,408200)
2.重庆九龙坡区中医院骨2科
△.通信作者 E-mail:570806574@qq.com
Author(s):
XIANG Fuhui1 CHEN Botao2 HU Kunlun2△
1.Department of Orthopedics, the Fengdu Hospital of Traditional Chinese Medicine, Chongqing 408200, China;
2.Second Department of Orthopedics, the Jiulongpo Hospital of Traditional Chinese Medicine, Chongqing 400080, China.
关键词:
踝部骨折;  内固定;  钢板;  入路;  比较研究
Keywords:
ankle fracture;  fracture fixation;  plate;  approach;  comparative research
分类号:
R683.42
文献标志码:
A
摘要:
目的:对Danis-Weber B型踝部骨折中的外踝骨折,分别采用后外侧或外侧两种不同钢板固定的相关问题进行比较。方法:采用Danis-Weber分型,62例B型踝部骨折,采用住院号编序后随机数字表余数法分组,两组各31例,外侧组采用外踝解剖型钢板固定外踝,后外侧组采用后外侧钢板固定外踝,对病例性别、年龄、踝部合并骨折、手术时间、出血、切口愈合情况、感染、骨折复位、骨折愈合、踝关节功能、腓骨长短肌腱激惹、内固定取出原因等进行观察。结果:两组在性别、年龄、踝部合并骨折等方面差异无统计学意义(P>0.05)。手术时间及切口愈合优良率差异无统计学意义(P>0.05),切口均无感染发生。Burwell-Charnley骨折复位放射学评价标准均达到解剖复位。Baird-Jackson踝关节评分在疼痛、行走能力、踝关节稳定、跑步、工作能力、X线片结果及总分上差异无统计学意义(P>0.05),而在踝关节活动度上,差异有统计学意义(P<0.05)。结论:在Danis-Weber B型踝部骨折中,后外侧钢板处理外踝骨折具有更好的解剖学和力学优势,切口隐蔽且更易愈合,异物感更少,较外侧解剖型钢板具有一定优势,但差异并无统计学意义。对此类骨折的处理上,内固定方式的选择可能依赖医生的经验。
Abstract:
Objective:To compare the clinical effects of Danis-Weber Type B fracture treated with two kinds of plates.Methods:In accordance with the random number table,62 cases of Danis-Weber type B ankle fracture were divided into the lateral group and the posterolateral group, 31 cases in each group. The lateral malleolus were fixed respectively with lateral anatomic plate and posterior lateral plate in two groups. The gender, age, combined fracture, operation time, bleeding, wound healing, infection, fracture reduction, fracture healing, ankle joint function, peroneal tendon irritation and reasons for removal of internal fixation were observed. Results:There was no statistically significant difference of the two groups on gender, age, ankle combined fracture, operation time and healing of incision(P>0.05). No infection occurred. In accordance with the Burwell-Charnley radiological evaluation criteria, all achieved anatomical reduction. There was no significant difference in Baird-Jackson ankle score in pain, walking ability, ankle joint stability, running, working ability, X-ray results and total score(P>0.05). In the ankle joint activity, the difference was statistically significant(P<0.05). Conclusion:In Danis Weber B type of ankle fracture, posterolateral plate has better anatomic and mechanical advantage than the lateral anatomy plate for covert incision, faster healing and less foreign body feeling, but there was no statistical significance.

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更新日期/Last Update: 2016-07-01