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[1]方華宴,李興華,王愛國.手術(shù)治療踝關(guān)節(jié)骨折手術(shù)失敗導(dǎo)致的復(fù)雜陳舊性踝關(guān)節(jié)脫位[J].中醫(yī)正骨,2015,27(11):45-47.
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手術(shù)治療踝關(guān)節(jié)骨折手術(shù)失敗導(dǎo)致的復(fù)雜陳舊性踝關(guān)節(jié)脫位()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年11期
頁碼:
45-47
欄目:
臨床報道
出版日期:
2015-11-30

文章信息/Info

作者:
方華宴李興華王愛國
河南省鄭州市骨科醫(yī)院,河南 鄭州 450052
關(guān)鍵詞:
踝關(guān)節(jié) 脫位 再手術(shù)
摘要:
目的:探討手術(shù)治療踝關(guān)節(jié)骨折手術(shù)失敗導(dǎo)致的復(fù)雜陳舊性踝關(guān)節(jié)脫位的臨床療效及安全性。方法:2007年1月至2013年12月,采用手術(shù)治療9例踝關(guān)節(jié)骨折手術(shù)失敗導(dǎo)致的復(fù)雜陳舊性踝關(guān)節(jié)脫位患者,男7例、女2例。年齡14~56歲,中位數(shù)38歲。均為閉合性損傷,按照踝關(guān)節(jié)骨折的Lauge-Hansen分型,旋前外旋型2例、旋后外旋型6例、旋前外展型1例。合并下脛腓聯(lián)合分離8例、前踝壓縮骨折6例,均未合并骨關(guān)節(jié)炎。第1次手術(shù)至本次手術(shù)時間為12~35周,中位數(shù)19周。術(shù)后隨訪觀察患者骨折愈合、并發(fā)癥發(fā)生及患肢功能恢復(fù)情況。結(jié)果:所有患者均獲隨訪,隨訪時間8~24個月,中位數(shù)18個月。均達(dá)到解剖復(fù)位; 骨折均愈合,愈合時間6~9個月,中位數(shù)7個月。均未出現(xiàn)感染及創(chuàng)傷性關(guān)節(jié)炎等并發(fā)癥。采用美國骨科足踝協(xié)會踝與后足功能評分標(biāo)準(zhǔn)評定療效,本組優(yōu)6例、良2例、可1例。結(jié)論:手術(shù)治療踝關(guān)節(jié)骨折手術(shù)失敗導(dǎo)致的復(fù)雜陳舊性踝關(guān)節(jié)脫位,術(shù)中合理截骨、徹底清除增生的黏連組織、恢復(fù)脛骨及踝穴正常解剖關(guān)系,可以取得良好的復(fù)位效果,防止創(chuàng)傷性關(guān)節(jié)炎的發(fā)生,改善患者的足踝功能。

參考文獻(xiàn)/References:

[1] Valderrabano V,Horisberger M,Russell I,et al.Etiology of ankle osteoarthritis[J].Clin Orthop Relat Res,2009,467(7):1800-1806.
[2] Herrera-Pérez M,Pais-Brito JL,de Bergua-Domingo J,et al.Results of arthrodiastasis in postraumatic ankle osteoarthritis in a young population:prospective comparative study[J].Rev Esp Cir Ortop Traumatol,2013,57(6):409-416.
[3] 王亦璁.骨與關(guān)節(jié)損傷[M].4版.北京:人民衛(wèi)生出版社,2007:1502.
[4] Kitaoka HB,Alexander IJ,Adelaar RS,et al.Clinical rating systems for the ankle-hindfoot,midfoot,hallux,and lesser toes[J].Foot Ankle Int,1994,15(7):349-353.
[5] Piper KJ,Yen-yi JC,Horsley M.Missed posterior deep,inferior subcompartment syndrome in a patient with an ankle fracture:a case report[J].J Foot Ankle Surg,2010,49(4):398.
[6] 黃明棣,羅國富,韋壽繁.空心拉力螺釘內(nèi)固定術(shù)治療陳舊性踝關(guān)節(jié)骨折脫位并下脛腓聯(lián)合分離24例[J].中醫(yī)正骨,2010,22(2):46-47.
[7] Thomas AE,Guyver PM,Taylor JM,et al.Tibiotalocalcaneal arthrodesis with a compressive retrograde nail:A retrospective study of 59 nails[J].Foot Ankle Surg,2015,21(3):202-205.
[8] Dalat F,Trouillet F,Fessy MH,et al.Comparison of quality of life following total ankle arthroplasty and ankle arthrodesis:Retrospective study of 54 cases[J].Orthop Traumatol Surg Res,2014,100(7):761-766.
[9] Ramsey PL,Hamilotn W.Changes in tibiotalar area of contact caused by lateral talar shift[J].J Bone Joint Surg Am,1976,58(3):356-357.
[10] 曹飛,王世海,王華民.陳舊性復(fù)雜踝關(guān)節(jié)骨折脫位的手術(shù)治療[J].中國矯形外科雜志,2011,19(6):528.
[11] 蔣晶飛,徐建武,范曉菁,等.內(nèi)外側(cè)手術(shù)入路治療踝關(guān)節(jié)骨折[J].中醫(yī)正骨,2010,22(4):58-59.
[12] Weber M,Ganz R.Malunion following trimalleolar fracture with posterolateral subluxation of the talusreconstruction including the posterior malleolus[J].Foot Ankle Int,2003,24(4):338-344.
[13] El-Rosasy M, Ali T.Realignment-lengthening osteotomy for malunited distal fibular fracture[J].Int Orthop,2013,37(7):1285-1290.
[14] Herzog JL,Goforth WD,Stone PA,et al.A modified fixation technique for a decompressional shortening osteotomy:a retrospective analysis[J].J Foot Ankle Surg,2014,53(2):131-136.
[15] Michelitsch C,Acklin YP,Stoffel K,et al.Chronic ankle joint instability:in unrecognized distal rupture of the syndosmosis and malunion of the distal fibula[J].Orthopade,2014,43(4):379-385.
[16] Wukich DK,Tuason DA.Diagnosis and treatment of chronic ankle pain[J].Instr Course Lect,2011,60(10):335-350.

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備注/Memo

備注/Memo:
2015-06-14收稿 2015-09-20修回
更新日期/Last Update: 2015-11-30