克氏针、螺钉、钢板内固定治疗踝关节骨折脱位的临床效果.docVIP

克氏针、螺钉、钢板内固定治疗踝关节骨折脱位的临床效果 　　[摘要] 目的 研究克氏针、螺钉、钢板内固定治疗踝关节骨折脱位的临床效果。 方法 抽取2012年2月～2013年12月本院收治的踝关节骨折脱位患者100例（治疗组），对其采取克氏针、螺钉、钢板内固定进行治疗，另外抽取同一时期踝关节骨质脱位患者100例（对照组），对其采取克氏针和螺钉治疗，比较两组的临床效果。 结果 治疗后，治疗组中优64例、良29例、可5例、差2例，优良率为93%，对照组中优52例、良21例、可19例、差8例，优良率为73%，治疗组的优良率显著高于对照组（P0.05）。 结论 对踝关节骨折脱位的治疗要根据病情的具体情况，采取相应的治疗措施，使踝关节可以获得精准的解剖复位，对踝关节功能恢复有良好的促进作用，使患者的健康、生活质量得到保障。 　　[关键词] 脱位；踝关节骨折；钢板内固定；螺钉；克氏针 　　[中图分类号] R681.8 [文献标识码] B [文章编号] 1674-4721（2014）08（b）-0178-03 　　[Abstract] Objective To study the clinical effect of kitschner wire，screw and plate internal fixation treating anklebone fracture disposition. Methods 100 patients （the treatment group） with anklebone fracture disposition treated with kitschner wire，screw and plate internal fixation in our hospital from February 2012 to December 2013 were selected，and another 100 patients （the control group） with anklebone fracture disposition treated with kitschner wire and screw，clinical effect of the two groups was compared. Results After treatment，64 cases were excellent results，29 cases were good，5 cases were sure，and 2 cases were poor in the treatment group，the excellent and good rate was 93% while in control group，52 cases were excellent，21 cases were good，19 cases were sure，and 8 cases were poor， the excellent and good rate was 73%.The excellent and good rate in the treatment was obviously higher than that in the control group （P0.05）. Conclusion should The corresponding treatment measures treat anklebone fracture disposition were taken according to specific condition，which can not only make the ankle get accurate anatomical reduction and promote the recovery of ankle joint function， but also ensure people′s health and quality of life. 　　[Key words] Dislocation；Anklebone fracture；Plate internal fixation；Screw；Kirschner wire 　　踝关节是人体负重最大的屈戌关节，由胫排骨下端的距骨以及内外踝共同组成，前者由胫骨的后踝、内踝以及腓骨的外踝共同组成的踝穴所包绕，将韧带有效地固定在踝穴当中。由于距骨体在踝穴当中，附近有坚韧的韧带所包绕，具有稳定性。当踝关节受到外力冲击受损的时候，一般会伴有踝关节骨折脱位，也存在单一踝关节脱位，但是非常少见，大部分伴有骨折。引发这种疾病的原因大部分为间接暴力，常见的有行走在不平道路或者平地跌