摘要
背景：以往采用门钉、钢丝、聚酯双股线加钮扣等方法治疗下胫腓联合分离存在固定不确切,再次分离发生率高等问题。目的：对比观察新型自制可调套式栓钉与普通螺钉治疗下胫腓联合分离的效果。方法：回顾性分析1988-03/2008-09南京市第一医院和南通市第一人民医院骨科收治的113例合并下胫腓联合分离的踝关节骨折患者临床资料。所有患者均采取切开复位内固定,其中66例采取新型可调套式栓钉固定,47例采取普通螺钉固定。根据临床标准评估两种固定方式的优质率与优良率。结果与结论：94例获随访,随访时间8个月~11年,X射线平片显示94例患者均骨折愈合。除开放性伤口外,其余伤口均一期愈合,无滑囊炎及感染发生。新型可调套式栓钉治疗者中优49例,良4例,差1例,优质率为91%,优良率为98%;普通螺钉治疗者中优30例,良6例,差4例,优质率为75%,优良率为90%。两组优质率和优良率差异均显著性意义。提示运用新型可调套式栓钉治疗下胫腓联合分离相对于普通螺钉操作简便,固定牢靠,能更好地恢复胫腓间正常解剖结构,是治疗下胫腓联合分离的理想方法。
BACKGROUND：Doornail,steel wire,polyester twin wire plus button have been used to treat lower tibiofibular ligament union.However,the fixation is not stable,with high incidence of re-separation.OBJECTIVE：To compare the effects of new adjustable nested stud and common screw in curing the abruption of lower tibiofibular ligament union with ankle joint fracture.METHODS：A total of 113 patients with the abruption of lower tibiofibular ligament union and ankle joint fracture were selected from Department of Orthopedics,Nanjing First Hospital and Nantong First People＇s Hospital between March 1988 and September 2008.All patients were treated with open reduction internal fixation,including 66 cases with the new adjustable nested stud and 47 with common screw.Excellent good rate of two methods was evaluated according to clinical standards.RESULTS AND CONCLUSION：A total of 94 patients were followed-up for 8 months to 11 years.X-ray showed that bone fracture healed in all patients.Except for open wound,all wounds healed at the primary stage,with no bursitis or infection.Of patients treated with new adjustable nested stud,49（90.7%）were excellent,4（7.4%）good,1（1.9%）poor,with the excellent and good rate of 98% and high quality rate of 91%.Of patients treated with common screw,30（75%）were excellent,6（15%）good,and 4（10%）poor,with the excellent and good rate of 90% and high quality rate of 75%.The new adjustable nested stud is simpler than the common screw to operate,fix firmly and reliably,with better recover normal dissection structure.It is an ideal treatment for the abruption of lower tibiofibular ligament union with ankle joint fracture.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2010年第48期8970-8973,共4页
Journal of Clinical Rehabilitative Tissue Engineering Research
