【摘要】：目的比較雙帶絆紐扣鋼板和金屬螺釘固定治療下脛腓骨聯(lián)合損傷的臨床療效。方法將45例踝部骨折伴下脛腓聯(lián)合損傷患者按入院日期奇偶數(shù)分成兩組:A組(25例)采用雙帶絆紐扣鋼板固定治療,B組(20例)采用金屬螺釘固定治療(10~12周取出金屬螺釘)。術(shù)后6個(gè)月對(duì)兩組踝關(guān)節(jié)AOFAS功能評(píng)分、踝關(guān)節(jié)活動(dòng)度進(jìn)行臨床評(píng)估,測(cè)量脛骨遠(yuǎn)端后外側(cè)緣與腓骨遠(yuǎn)端內(nèi)側(cè)緣之間的距離(TFCS)和脛骨前結(jié)節(jié)外側(cè)緣與腓骨內(nèi)側(cè)緣之間水平距離(TFO),進(jìn)行影像學(xué)評(píng)價(jià)。結(jié)果患者均獲得隨訪,時(shí)間6~15個(gè)月。術(shù)后6個(gè)月兩組的踝關(guān)節(jié)AOFAS功能評(píng)分、踝關(guān)節(jié)活動(dòng)度、TFCS和TFO比較差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論雙帶絆紐扣鋼板治療下脛腓聯(lián)合損傷可達(dá)到與金屬螺釘固定相同的效果,并且能保留生理性微動(dòng),有利于早期負(fù)重活動(dòng),降低了內(nèi)固定物松動(dòng)或斷裂的發(fā)生率,更利于關(guān)節(jié)功能康復(fù)。
[Abstract]:Objective to compare the clinical effect of double-band trip button plate and metal screw fixation in the treatment of combined injury of lower tibia and fibula. Methods Forty-five patients with ankle fracture associated with injury of lower tibiofibular syndesmosis were divided into two groups: group A (25 cases) were treated with double-band trip-button plate fixation. Group B (20 cases) were treated with metal screw fixation (10 ~ 12 weeks). At 6 months after operation, the AOFAS score and the range of motion of ankle joint in both groups were evaluated. The distance between the posterolateral margin of the distal tibia and the medial margin of the fibula and the horizontal distance between the lateral margin of the anterior tubercle of the tibia and the medial margin of the fibula were measured by (TFCS) for imaging evaluation. Results all patients were followed up for 6 ~ 15 months. Six months after operation, there was no significant difference in ankle AOFAS function score, ankle motion, TFCS and TFO between the two groups (P0.05). Conclusion Dual-band trip-button plate can treat the injury of the tibiofibular syndesmosis with the same effect as the metal screw fixation, and it can preserve the physiological fretting, which is beneficial to the early weight-bearing activity and reduces the incidence of looseness or fracture of the internal fixator. More conducive to the rehabilitation of joint function.
【作者單位】： 桐鄉(xiāng)市中醫(yī)醫(yī)院骨科;廣州中醫(yī)藥大學(xué)附屬骨傷科醫(yī)院創(chuàng)傷骨科;
【分類號(hào)】：R687.32

【參考文獻(xiàn)】

相關(guān)期刊論文 前4條

1 吳炳國(guó);;X線結(jié)合Lauge-Hansen分型系統(tǒng)診斷下脛腓聯(lián)合損傷的價(jià)值研究[J];河北醫(yī)學(xué);2015年04期

2 蘆浩;徐海林;姜保國(guó);付中國(guó);張殿英;王天兵;張培訓(xùn);薛峰;陳建海;黨育;楊明;;下脛腓鉤與Suture-button技術(shù)治療下脛腓聯(lián)合損傷[J];中華創(chuàng)傷雜志;2015年02期

3 吳偉峰;駱宇春;劉云鵬;張焱;華國(guó)軍;陳斌;柏廣富;王詩(shī)波;;下脛腓聯(lián)合損傷韌帶重建的生物力學(xué)研究[J];中華關(guān)節(jié)外科雜志(電子版);2014年02期

4 魯建作;王大風(fēng);;35例踝關(guān)節(jié)骨折脫位并下脛腓聯(lián)合分離的治療體會(huì)[J];臨床骨科雜志;2011年06期

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 錢偉宏;羅毅文;姚志宏;;雙帶絆紐扣鋼板和金屬螺釘治療下脛腓聯(lián)合損傷的療效比較[J];臨床骨科雜志;2016年06期

2 張素杰;何鵬宇;;膝關(guān)節(jié)交叉韌帶在不同運(yùn)動(dòng)狀態(tài)下的生物力學(xué)特性及其損傷機(jī)制研究[J];臨床和實(shí)驗(yàn)醫(yī)學(xué)雜志;2016年22期

3 劉經(jīng)明;;踝關(guān)節(jié)骨折X線與MRI診斷下脛腓聯(lián)合損傷的臨床研究[J];中國(guó)當(dāng)代醫(yī)藥;2016年26期

4 董琦;;手術(shù)治療下脛腓聯(lián)合分離踝關(guān)節(jié)損傷的療效觀察[J];臨床醫(yī)藥文獻(xiàn)電子雜志;2016年28期

5 王帥;王成偉;;彈性固定治療下脛腓聯(lián)合損傷的現(xiàn)狀[J];醫(yī)學(xué)綜述;2016年08期

6 薛亮;趙程錦;朱惠芳;;漂浮體位治療踝關(guān)節(jié)復(fù)雜骨折的臨床效果分析[J];河北醫(yī)學(xué);2016年03期

7 劉s，

本文編號(hào)：2334347