[1]毛勇 闵珊.旋后-外旋型后踝骨折不同内固定物的临床疗效研究[J].中国中医骨伤科杂志,2019,27(11):34-38.
　MAO Yong MIN Shan.Clinical Research on Different Internal Fixations in the Treatment of Posterior Maileolus Fracture of Supination-external Rotation Types[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2019,27(11):34-38.
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旋后-外旋型后踝骨折不同内固定物的临床疗效研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第27卷
期数:
2019年11期
页码:
34-38
栏目:
临床研究
出版日期:
2019-10-30

文章信息/Info

Title:
Clinical Research on Different Internal Fixations in the Treatment of Posterior Maileolus Fracture of Supination-external Rotation Types
文章编号:
1005-0205(2019)11-0034-05
作者:
毛勇1 闵珊1
1广州市番禺区中医院(广州,511400)
Author(s):
MAO Yong1 MIN Shan1
1Department of Orthopedics,Panyu Distract Hospital of Chinese Medicine,Guangzhou 511400,China.
关键词:
后踝;  钢板;  空心螺钉;  骨折
Keywords:
posterior maileolus;  plate;  hollow screw;  fracture
分类号:
R683.42
文献标志码:
A
摘要:
目的:探讨空心螺钉内固定与钢板螺钉内固定对旋后-外旋型踝关节骨折中的后踝骨折的治疗效果。方法:对本院骨科2015年1月起收治的103例旋后-外旋型踝关节骨折有后踝骨折的患者进行回顾性分析,依据后踝骨折Haraguchi分型,分别采取空心螺钉内固定或钢板螺钉内固定,观察两种内固定方式治疗不同分型后踝骨折的效果。结果:空心螺钉组患者在手术时间、出血量、住院时间方面优于钢板螺钉内固定组,两组患者术后4周及8周时功能评分结果差异无统计学意义(P>0.05),术后12周及术后半年时功能评分结果差异有统计学意义(P<0.01),术后1年时两组患者功能评分结果差异无统计学意义(P>0.05)。结论:空心螺钉内固定与钢板螺钉内固定对后踝骨折均具有较好的临床效果,可以根据后踝骨折块的类型选择相应的内固定物。
Abstract:
Objective:To investigate the effect of hollow screw internal fixation and plate screw internal fixation for the treatment of posterior maileolus fracture of supination-external rotation types.Methods:The authors retrospectively analyzed 103 cases posterior ankle fracture of supination-external rotation types admitted to our department since January 2015.According to the Haraguchi classification of the posterior maileolus fracture,the internal fixation with hollow screws and plates screws were applicated.The fixation effect were observed for the treatment of different types of posterior maileolus fractures.Results:The Patients with hollow screw group had better operation time,bleeding volume and hospitalization time than patients with plate screw fixation group.There was no significant difference in functional score between the two groups at 4 and 8 weeks after operation(P>0.05).There was a statistically significant difference in functional scores at 12 weeks and half a year after operation(P<0.01).There was no significant difference in the functional scores between the two groups at 1 year after operation(P>0.05).Conclusion:The internal fixation of hollow screws and plate screws have good clinical effect on patients.The corresponding internal fixation can be selected according to the type of posterior maileolus fracture.

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2019-07-03)
更新日期/Last Update: 2019-10-30