双钳夹治疗含有后踝骨折的踝关节骨折脱位并下胫腓分离.PDFVIP

中国骨伤 2002 年 7 月第 15 卷第 7 期 　China J Ort hop Trauma ,J ul 2002 ,Vol . 15 ,No . 7 ·385 · ·论著 · 双钳夹治疗含有后踝骨折的踝关节骨折 脱位并下胫腓分离 刘威 (河南省洛阳正骨医院正骨研究所 ,河南 　洛阳 47 1002) 　　【摘要】　目的　探讨一种治疗含有后踝骨折的踝关节骨折脱位并下胫腓分离的方法 。方法 　采用 ( ) 傅光瑞等研制的活柄式钳夹对含有后踝骨折的踝关节骨折脱位并下胫腓分离 36 例 38 踝 进行治疗 。 ( ) 结果 　随访 34 例 36 踝 ,随访时间平均 26 个月 ,优 28 踝 、良5 踝 ,优良率达 9 17 % 。结论 　该疗法创 伤小 、固定牢靠 ,符合踝关节的弹性生理标准 ,是含有后踝骨折的踝关节骨折脱位并下胫腓分离的较佳 治疗方法 。 【关键词】　踝损伤 ; 胫骨骨折 ; 脱位 Double clamping f or the treatment of posterior malleolar fracture of the ankle associated with distal ( ) tibiof ibular separation L I U w ei . L uoy ang Ort hop edic Hosp ital Henan L uoy ang 47 1002 【Abstract 】　Objective 　To study t he met hod for t he treat ment of posterior malleolar fracture associated wit h distal tibiofibular sep aration Methods 　36 cases ( 38 ankles) of posterior malleolar fracture of t he ankle associated wit h distal tibiofibular sep aration were treated wit h Fus movablehandled clamp s. Results 　34 case (36 ankles) were followed up (average 26 mont hs) . Of t hem ,28 cases had excellent and 5 good result s (t he excellentgood rate was 9 17 %) . Conclusion 　The met hod has t he advantages of minimal invasion and firm stabilization . It coincides wit h t he elastic p hysiologic standard of t he ankle joint and t herefore it is a met hod of selection for t he treat ment of posterior malleolar fracture of t he ankle associated wit h distal tibiofibular sep ara tion . 【Key Words】　Ankle inj uries ; Tibial fractures ; Dislocations 　　作者自1994 年 7 月以来 ,采用闭合手法整复双 位复位 ,根据 内、外踝骨折情况选择内、外侧进钳固 ( ) 钳夹