[1]何亚标 孙俊明△ 陈振南 林政.手法复位石膏固定治疗踝关节骨折50例[J].中国中医骨伤科杂志,2020,28(10):47-51.
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手法复位石膏固定治疗踝关节骨折50例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年10期
页码:
47-51
栏目:
临床报道
出版日期:
2020-10-10

文章信息/Info

文章编号:
1005-0205(2020)10-0047-05
作者:
何亚标1 孙俊明2△ 陈振南1 林政1
关键词:
踝关节骨折 手法复位 石膏固定
分类号:
R683.42
文献标志码:
B
摘要:
目的:探讨Lauge-Hansen分型对踝关节骨折手法复位的临床指导意义。方法:分析自2017年1月至2018年12月收治的50例踝关节骨折患者,其中女31例,男19例; 年龄20~73岁,平均52.9岁。手法复位前根据X线片应用Lauge-Hansen分型,其中旋后外旋型28例(Ⅱ度7例,Ⅲ度7例,Ⅳ度14例),旋前外旋型14例(Ⅰ度2例,Ⅱ度2例,Ⅲ度4例,Ⅳ度6例),旋前外展型5例(Ⅱ度1例,Ⅲ度4例),旋后内收型3型(Ⅰ度1例,Ⅱ度2例)。均采用手法复位结合U形石膏固定治疗。术后结合《中医病证诊断疗效标准》以及Leeds提出的复位标准判定复位质量,末次随访根据美国足踝外科协会(AOFAS)踝与后足功能评分系统踝关节功能进行评估,采用VAS评估踝关节疼痛情况。结果:手法复位后优良率高达92%,所有患者均获得随访,随访时间超过12个月。所有患者3个月复查提示骨折愈合良好,所有患者未发现并发症。AOFAS评分:优31例(62%),良16例(32%),可2例(4%),差1例(2%),优良率达94%(47/50)。末次随访时VAS评分,静息时VAS评分为0~2分,平均0.88分; 行走时为0~4分,平均2.06分。结论:基于X线片的Lauge-hansen分型可初步判断损伤机制和特定解剖结构的损伤顺序,对踝关节骨折选择手法复位和石膏固定具有较好的指导意义。

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备注/Memo

备注/Memo:
(收稿日期:2020-03-05)1福建中医药大学附属漳州市中医院(福建 漳州,363000) 2龙海市中医院 通信作者 E-mail:81380565@qq.com
更新日期/Last Update: 2020-10-10