摘要
目的比较外侧钢板与抗滑钢板在治疗旋后外旋型三踝骨折的手术效果的差异。方法回顾性分析了在2009—2011年31例符合标准的旋后外旋型三踝骨折手术治疗的资料，17例采用抗滑钢板治疗，14例采用传统外侧钢板治疗，随访时间14—38个月，平均26．6个月。患者功能效果采用Olemdand Molander评分系统，采用成组设计的t检验对两组患者的受伤到手术时间、手术时间、止血带时间、住院时间以及踝关节功能评分各自进行评价。结果受伤到手术时间，手术时间，止血带时间，住院时间以及踝关节功能评分均无统计学差异。结论旋后外旋型三踝骨折两组患者手术治疗均取得好的功能效果，数据结果不支持一种手术方式优于另一种手术方式。
Objective To assess the outcomes of the surgical treatment of supination external rotation trimalleolar fractures, comparing the techniques of lateral plating and antiglide plating as described previously. Methods This is a retrospective review. A total of 31 patients meeting our inclusion criteria, with supination ex- ternal rotation trimalleolar fractures surgically treated between 2009 and 2011, were studied. 17 patients were trea- ted with antiglide plating, whereas the remaining 14 patients underwent traditional lateral plating. They were fol- lowed up by a period ranging from 14 to 38 months（ average, 26 months）. The functional results were evaluated with olerud and molander scoring system described previously. All the data including time to surgery, operating room time, tourniquet time, hospital stay and ankle joint function scores, were respectively analyzed in accordance with the complete randomized design t-test. Results There was no statistically significant in time to surgery, operating room, tourniquet time, hospital stay and ankle joker functional scores. Conclusions The outcome of the surgical management of supination external rotation trimalleolar fracture is comparable with both techniques. Our data do not support one technique over the other.
出处
《国际外科学杂志》
2013年第8期537-540,共4页
International Journal of Surgery
关键词
外科手术
旋后外旋型
三踝
骨折
预后
Surgical procedures, operative
Supination external rotation
Trimalleolar
Fractures, Bone
Prognosis
