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[1]李雄峰,莊汝杰,管國(guó)華,等.手術(shù)治療旋后外旋型踝關(guān)節(jié)骨折[J].中醫(yī)正骨,2012,24(01):24-26.
　LI Xiong-feng*,ZHUANG Ru-jie,GUAN Guo-hua,et al.Study on the curative effect of operational treatment on the ankle joint fracture in supination-external rotation type[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(01):24-26.
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手術(shù)治療旋后外旋型踝關(guān)節(jié)骨折()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期數(shù):
2012年01期
頁碼:
24-26
欄目:
臨床研究
出版日期:
2012-01-31

文章信息/Info

Title:
Study on the curative effect of operational treatment on the ankle joint fracture in supination-external rotation type
作者:
李雄峰1; 2; 莊汝杰1; 管國(guó)華2; 黃勝2
1.浙江中醫(yī)藥大學(xué)2009級(jí)博士研究生,浙江 杭州 310006;
2.浙江省湖州市中心醫(yī)院,浙江 湖州 313000
Author(s):
LI Xiong-feng*; ZHUANG Ru-jie; GUAN Guo-hua; HUANG Sheng.
*2009 Ph.D.candidate of Zhejiang University of Chinese Medicine,Hangzhou 310006,Zhejiang,China
關(guān)鍵詞:
踝關(guān)節(jié) 骨折 骨折固定術(shù); 內(nèi)
Keywords:
Ankle joint;  Fractures; bone;  Fracture fixation; internal
摘要:
目的:探討手術(shù)治療旋后外旋型踝關(guān)節(jié)骨折的療效。方法:2006年1月至2010年9月,手術(shù)治療旋后外旋型踝關(guān)節(jié)骨折患者82例,于術(shù)后6個(gè)月和12個(gè)月時(shí)對(duì)患側(cè)與健側(cè)踝關(guān)節(jié)功能進(jìn)行比較,并對(duì)術(shù)后6個(gè)月與術(shù)后12個(gè)月時(shí)的踝關(guān)節(jié)功能進(jìn)行比較。結(jié)果:術(shù)后6個(gè)月時(shí)患側(cè)踝關(guān)節(jié)功能明顯差于健側(cè),差異有統(tǒng)計(jì)學(xué)意義(t=-8.286,P=0.000); 術(shù)后12個(gè)月時(shí)患側(cè)踝關(guān)節(jié)功能接近健側(cè)踝關(guān)節(jié),差異無統(tǒng)計(jì)學(xué)意義(t=1.179,P=0.240)。術(shù)后12個(gè)月時(shí)患側(cè)踝關(guān)節(jié)功能較術(shù)后6個(gè)月時(shí)明顯改善,差異有統(tǒng)計(jì)學(xué)意義(t=-10.769,P=0.000); 術(shù)后12個(gè)月時(shí)健側(cè)踝關(guān)節(jié)功能也較術(shù)后6個(gè)月時(shí)改善,差異有統(tǒng)計(jì)學(xué)意義(t=-6.819,P=0.000)。結(jié)論:對(duì)損傷進(jìn)行準(zhǔn)確的評(píng)估、選擇恰當(dāng)?shù)氖中g(shù)時(shí)機(jī)和合適的固定方法、恢復(fù)完整的關(guān)節(jié)面和關(guān)節(jié)的穩(wěn)定、術(shù)后進(jìn)行有效的功能鍛煉,可以提高旋后外旋型踝關(guān)節(jié)骨折的手術(shù)療效,有效恢復(fù)踝關(guān)節(jié)功能。
Abstract:
Objective:To explore the curative effect of operation on the ankle joint fracture in supination-external rotation type(S-E-R type).Methods:Eighty-two cases with ankle joint fracture in S-E-R type were processed with operation from January 2006 to September 2010.The ankle joint functions were compared between the diseased side and the healthy side at the 6th and the 12th months after the operation respectively,The ankle joint functions at the 6th months after the operation were compared with that at the 12th months after the operation.Results:Six months after the operation,the ankle joint function of diseased side was worse than that of the healthy side,and there was statistical difference between them(t=-8.286,P=0.000).Twelve months after the operation,the ankle joint function of diseased side was close to that of the healthy side,and there was no statistical difference between them(t=1.179,P=0.240).Ankle joint function of diseased side at the 12th months after the operation was improved a lot compared with that at the 6th months after the operation,and there was statistical difference between them(t=-10.769,P=0.000); and the same situation also occurred in the healthy side(t=-6.819,P=0.000).Conclusion:It can improve the curative effects of operation on ankle joint fracture in S-E-R type and effectively recover the ankle joint functions through the following methods as accurate evaluation of the injuries,proper operation opportunity and fixation methods,the recovery of the complete articular surface and the stable ankle joints,effective functional exercises after the operation.

參考文獻(xiàn)/References:

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更新日期/Last Update: 2012-01-20