摘要
目的 :总结用改良Ilizarov外固定器治疗三踝骨折中的复位手法经验。方法 :对 18例三踝骨折采用手法复位、改良Ilizarov外固定器固定进行治疗。结果 :采用Leeds分级 ,18例中除 1例于外固定器固定 3周后 ,因内踝的骨折间隙大于 2mm改切开复位内固定外 ,余 17例均外固定器治疗成功。随访 8个月～ 3年 ,17例中优 11例 ,良 5例 ,差 1例。总优良率 88 9%。结论 :外固定器治疗三踝骨折中的复位手法是建立在一般踝关节骨折复位手法基础上借助器械的一套复合手法。
Objective:To sum up experience of manipulative reduction in the treatment of trimalleolar fracture by the modified ilizarov fixator.Methods:18 patients with trimalleolar fracture were treated with manipulative reduction and improved ilizarov fixator.Results:All the cases were successful,except one who was operated on.Another 17 cases were followed up from 8 months to 3 years with an average of 18 months,their results were evaluated according to Leeds standard.11 cases got excellent,5 good and 1 poor.The excellent and good rate was 88.9%.Conclusion:The manipulative reduction in the treatment of trimalleolar fracture combined with the modified ilizarov fixator is a set of combinative manipulation,basing upon the common manipulation of ankle joint fracture and assisted apparatus.
出处
《中国骨伤》
CAS
2004年第7期408-410,共3页
China Journal of Orthopaedics and Traumatology
关键词
手法复位
外固定器
治疗
三踝骨折
Trimalleolar fracture
Bone setting manipulation
External fixators
