摘要
目的探讨距骨颈骨折的治疗体会及疗效。方法 18例距骨颈骨折患者,其中2例行保守治疗（行踝关节石膏托外固定10-12周）,16例行手术治疗,观察治疗效果。结果随访12-48个月,平均随访21个月。2例出现踝关节及距下关节创伤性关节炎,术后1例发生距骨缺血性坏死。18例患者优15例,良2例,差1例,优良率为94.4%。结论距骨颈骨折选择正确的手术入路及适当的手术时机,尽量保护血运及坚强内固定,前内侧手术入路对距骨血供影响最小,最大限度的减少了距骨骨折的坏死几率。
Objective To explore treatment experience and curative effect of talus neck fracture. Methods Among 18 patients with talus neck fracture, there were 2 patients received conservative treatment （with ankle plaster extemal fixation for 10-12 weeks）, 16 patients received operative treatment. Their treatment effect was observed. Results Patients were followed up for 12-48 months, with an average follow-up of 21 months. There were 2 patients with traumatic arthritis at ankle and Subtalar joint, 1 patient with ischemic necrosis of talus body after operation. There were 15 excellent cases, 2 good cases and 1 poor case, with effective rate as 94.4%. Conclusion It can minimize the necrosis of talus fracture by selecting the fight surgical approach and proper surgical timing, protecting blood supply and strengthening fixation as far as possible, along with anterior-internal surgical approach has minimal impact on blood supply in taius.
出处
《中国实用医药》
2016年第36期77-78,共2页
China Practical Medicine
