The analysis of 48 cases of the treatment of ankle joint fracture absorbable screw with syndesmotic separation effect observation
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摘要:
目的探讨可吸收螺钉治疗踝关节骨折伴下胫腓联合分离中的应用。 方法2009年8月~2014年8月治疗踝关节骨折150例，皆行切开复位内固定术，其中伴有下胫腓分离者48例，内固定术后，行C臂机透视，如发现下胫腓联合仍然分离者，行可吸收螺钉横向固定。 结果全病例经跟踪得到6个月~4年9个月随访，平均2年4个月。根据美国足踝外科协会（AOFAS）制定的踝关节评定标准，优37例，良9例，可1例，差1例。优良率达95.8%。 结论可吸收螺钉治疗踝关节骨折伴有下腓分离，具有良好的内固定特性及组织相容性，能早期进行功能锻炼，减少了拆除横向螺钉手术过程再次手术的痛苦，避免金属螺钉断裂的风险。 Abstract:Objective To explore the treatment of ankle joint fracture absorbable screw with inferior tibiofibular syndesmosis separation in. Methods 2009 August ~2014 August for the treatment of ankle fractures in 150 cases, were treated by open reduction and internal fixation, which accompanied with separation of distal tibiofibular joint in 48 cases, fixation, Carm fluoroscopy, such as the discovery of tibiofibular syndesmosis separation line still, absorbable screws fixed transverse. Result all cases were followed from 6 months to 4 years and 9 months follow-up, an average of 2 years and 4 months. According to the American Association of foot and ankle surgery(AOFAS)evaluation of ankle joint standard, excellent in 37 cases, good in 9 cases, in 1 cases, poor in 1 cases. The excellent and good rate was 95.8%. Conclusion the absorbable screws in treatment of fractures of the ankle, with fixed characteristics and microstructure of good internal consistency, early functional exercise, reducing reoperation demolition of horizontal screw surgery pain, to avoid the risk of metal screw fracture. -
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