[1]杨昆 周游 袁炜庆 惠桂生 雷云 廖俊城.漂浮体位下不同复位顺序对旋后外旋型Ⅳ度踝关节骨折疗效的影响[J].中国中医骨伤科杂志,2022,30(05):34-37.
　YANG Kun ZHOU You YUAN Weiqing HUI Guisheng LEI Yun LIAO Juncheng.The Efficacy of Different Reduction Sequence in Floating Position on the Treatmentof Supination and ExternalRotation Type Ⅳ Ankle Fracture[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(05):34-37.
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漂浮体位下不同复位顺序对旋后外旋型Ⅳ度踝关节骨折疗效的影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年05期
页码:
34-37
栏目:
临床研究
出版日期:
2022-05-15

文章信息/Info

Title:
The Efficacy of Different Reduction Sequence in Floating Position on the Treatmentof Supination and ExternalRotation Type Ⅳ Ankle Fracture
文章编号:
1005-0205(2022)05-0034-04
作者:
杨昆1 周游1 袁炜庆1 惠桂生1 雷云1 廖俊城1
1广西骨伤医院(南宁,530012)
Author(s):
YANG Kun1 ZHOU You1 YUAN Weiqing1 HUI Guisheng1 LEI Yun1 LIAO Juncheng1
1Guangxi Orthopaedic Traumatology Hospital, Nanning 530012,China.
关键词:
踝关节骨折; 旋后外旋型Ⅳ度骨折; 漂浮体位; 复位顺序; 临床疗效
Keywords:
ankle fracture;  supination and external rotation type Ⅳ fracture;  floating position;  reduction sequence;  clinical efficacy
分类号:
R683.42
文献标志码:
A
摘要:
目的:探讨漂浮体位下不同复位顺序对旋后外旋型Ⅳ度踝关节骨折疗效的影响。方法:回顾性分析2017年10月至2019年12月因旋后外旋型Ⅳ度踝关节骨折接受切开复位内固定术并且术中采用漂浮体位的73例患者资料,根据术中骨折复位顺序分为观察组39例(按照外踝-后踝-内踝顺序复位)和对照组34例(按照后踝-外踝-内踝顺序复位)。比较两组患者手术时间、术中出血量、术中后踝复位次数、临床愈合时间、AOFAS评分、VAS评分以及术后并发症发生情况。结果:所有患者术程顺利,术后随访时,两组患者均未见明显骨不连、畸形愈合、内固定物松脱等现象。在手术时间、术中出血量、术中后踝复位次数等方面,观察组明显少于对照组,差异有统计学意义(P<0.05)。在住院时间和临床愈合时间方面,差异无统计学意义(P>0.05)。术前及末次随访时,两组患者的AOFAS评分和VAS评分比较,差异均无统计学意义(P>0.05)。结论:漂浮体位下采用外踝-后踝-内踝的复位顺序对于旋后外旋型Ⅳ度踝关节骨折而言,其疗效确切,缩短了手术时间,减少了术中出血量及后踝骨折复位次数,降低了手术难度,是一种较为理想的术式。
Abstract:
To investigate the efficacy of different reduction sequences in the floating position on the efficacy of supination and external rotation type Ⅳ ankle fractures. Methods:The data of 73 patients who underwent open reduction and internal fixation for supination and external rotation type Ⅳ ankle fractures from October 2017 to December 2019 in hospital and adopted floating position during the operation were retrospectively analyzed. The operation time, intraoperative blood loss, number of posterior ankle reductions, clinical healing time, AOFAS score, VAS score and postoperative complications were compared between the two groups of patients. Results:All patients were treated with a smooth operation. During the postoperative follow-up, there were no obvious bone nonunion, malunion, or internal fixation loosening in the two groups. In terms of operation time, intraoperative blood loss and number of postoperative ankle reductions, the observation group was significantly smaller than the control group, and the difference was statistically significant(P<0.05). The difference was not statistically significant in terms of hospitalization time and clinical healing time(P>0.05). The AOFAS scores and VAS scores of the two groups were compared before operation and at the last follow-up, and there was no significant difference between the groups(P>0.05). Conclusion:In the floating position, the reduction sequence of lateral malleolus-posterior malleolus-medial malleolus is effective for supination and external rotation type Ⅳ ankle fractures, which can effectively shorten the operation time, reduce intraoperative blood loss, reduce the number of reduction of posterior malleolus fractures and reduce the difficulty of surgery.

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更新日期/Last Update: 1900-01-01