摘要
目的：观察腓骨钩钢板治疗腓骨远端骨折的临床效果。方法：对31例踝部骨折中腓骨远端骨折进行切开复位腓骨解剖型带钩钢板内固定，术后观察腓骨远端骨折治疗后一些并发症的情况，如伤口感染、内固定外露、内固定失败、骨折不愈合、神经损伤、创伤性关节炎等，并对踝关节功能进行相应评分。结果：所有病人随访5月～3年不等，平均12．9个月，近期临床观察获得较满意的结果，踝关节Kofoed评分，其中，优，15例；良，10例；可，2例；差，1例，失访3例。优良率为89．3％。结论：对于腓骨远端骨折，腓骨解剖型带钩钢板具有术中复位好、固定可靠、操作简单、术后功能满意的优点，但远期疗效仍需进一步观察和病例的积累。
Objective：To study the clinical effect of hook -plate in distal fibula fractures .Methods：31 patients with distal fibula frac-tures were treated with hook -plate, the effect was evaluated , and complications were recorded .Results：28 patients were followed up for 12.9 months （5-36 months）, 3 cases were lost.According to Kofoed score, there were 15 cases excellent, 10 cases good and 2 cases bad, the excellent and good rate was 89.3%.Conclusions：Fibular anatomical hook -plate has advantages as reduction well , reliable fixation, simple operation and satisfying postoperative function in distal fibula fractures , the long-term effect needs much more clinical data .
出处
《中国伤残医学》
2014年第13期10-11,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
踝部骨折
腓骨钩钢板
腓骨远端骨折
外踝骨折
Ankle fracture
Hook-plate
Distal fibula fractures
Lateral malleolus fracture
