经内外踝截骨入手术治疗复杂距骨骨折.pdfVIP

The medial and lateral malleolus osteotomy approach for treatment of complex talar fracture Speciality:Orthopaedics of TCM Author:Xue Xiao liang Tutor:sun lu Abstract Objective: To introduce the internal or external malleolus osteotomy approach operation in treatment of complex fracture of the talus method, discusses the operation approach and curative effect in the near future.Method: 2009February to2012February,12 cases were complicated talus fracture, male 8, female4, age 18~ 44year old, average age is 27.6 years old; high fall injury in 8 cases,3 cases of traffic accident injuries, heavy injured in 1 cases; the left talus fracture in 8 cases, right talus fractures in 4 patients with ankle fractures in3; cases, open fracture and dislocation in 1 cases, were applied by internal or external malleolus osteotomy approach operation.Results: All patients were followed up, followed up for 8 months to3 years, average time of 2years. According to patients complaints, the heel and ankle shape, function and imaging to evaluate the clinical efficacy of operation approach. According to Hawkins standards of efficacy: excellent in 6 cases, good in 3 cases, in 2 cases, poor in 1 cases, the excellent and good rate was 75%, all cases were no body of talus necrosis. Conclusion: The medial and lateral malleolus osteotomy operation approach for treatment of complex talar fracture is a good method to. Key words Talus, fracture, osteotomy approach, operation treatment, curative effect 1 目 录 引 言 1 资料与方法 2 一、临床资料 2 （一）病例来源 2 （二）采集时间 2 （三）病例选择 2 （四）一般资料 2 二、治疗方法 3 （一）术前准备 3 （二）手术步骤 3 （三）手术入路 3 （四）术后处理 4 三、疗效评价 4