微创治疗后踝骨骨折临床剖析.docVIP

微创治疗后踝骨骨折临床剖析 　　摘 要 目的：探讨闭合复位经皮空心螺钉内固定选择性治疗后踝骨折的手术方法、适应证及临床效果。方法：对采用闭合复位经皮空心螺钉内固定治疗42例后踝骨折患者的临床资料进行了回顾性分析；并采用X线片评估骨折愈合率和采用AOFAS足踝评分系统评估踝关节功能。结果：平均随访22个月，骨折愈合时间6～12周，AOFAS足踝评分平均96分，其中优41例，可1例，优良率97.6%。结论：闭合复位经皮空心螺钉内固定治疗后踝骨折，具有恢复快、愈合率高、踝关节功能好等优点。 　　摘 要 目的：探讨闭合复位经皮空心螺钉内固定选择性治疗后踝骨折的手术方法、适应证及临床效果。方法：对采用闭合复位经皮空心螺钉内固定治疗42例后踝骨折患者的临床资料进行了回顾性分析；并采用X线片评估骨折愈合率和采用AOFAS足踝评分系统评估踝关节功能。结果：平均随访22个月，骨折愈合时间6～12周，AOFAS足踝评分平均96分，其中优41例，可1例，优良率97.6%。结论：闭合复位经皮空心螺钉内固定治疗后踝骨折，具有恢复快、愈合率高、踝关节功能好等优点。 　　关键词 踝关节骨折 关节内骨折 内固定术 空心螺钉 微创手术 　　关键词 踝关节骨折 关节内骨折 内固定术 空心螺钉 微创手术 　　doi:10.3969/j.issn.1007-614x.2012.05.09090 　　Abstract Objective:Of closed reduction and percutaneous cannulated screw fixation of ankle fractures after selective treatment clinical effect.Methods:the use of closed reduction percutaneous cannulated screw fixation of ankle fractures 42 cases of patients after data were retrospectively analyzed.Results:The average follow-up was 22 months.the healing time was 6 to 12 weeks.AOFAS ankle score was 96 points,were excellent 41 cases,1 case,good rate 97.6%.Conclusion:The surgical treatment of ankle fractures,with quick recovery,healing rate,and good ankle function. 　　Abstract Objective:Of closed reduction and percutaneous cannulated screw fixation of ankle fractures after selective treatment clinical effect.Methods:the use of closed reduction percutaneous cannulated screw fixation of ankle fractures 42 cases of patients after data were retrospectively analyzed.Results:The average follow-up was 22 months.the healing time was 6 to 12 weeks.AOFAS ankle score was 96 points,were excellent 41 cases,1 case,good rate 97.6%.Conclusion:The surgical treatment of ankle fractures,with quick recovery,healing rate,and good ankle function. 　　Key Words Fracture of ankle joint;Intraarticular fracture;Internal fixation;Hollow screw;Mini-invasive surgery 　　Key Words Fracture of ankle joint;Intraarticular fracture;Internal fixation;Hollow screw;Mini-invasive surgery 　　踝关节骨折临床较常见，骨折时常波及后踝，往往传统的手术方法存在一些缺点。20