河北医科大学学报

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三踝骨折与胫腓骨螺旋骨折中后踝骨折的回顾性研究#br#

  

  1. 河北医科大学第三医院创伤急救中心，河北省骨科研究所，河北省骨科生物力学重点实验室，河北 石家庄 050051
  • 出版日期:2018-12-25 发布日期:2018-11-30
  • 作者简介:郭家良（1986-），男，河北唐山人，河北医科大学第三医院主治医师，医学博士，从事创伤骨科疾病诊治研究。
  • 基金资助:
    河北省医学科学研究重点课题（20180451）

A retrospective study comparing posterior malleolar fracture in trimalleolar fracture and tibial spiral fracture

  1. Trauma Emergency Center, the Third Hospital of Hebei Medical University, Orthopedic Research Institute of Hebei Province,Key Laboratory of Biomechanics of Hebei Province, Shijiazhuang 050051, China
  • Online:2018-12-25 Published:2018-11-30

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摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗比较三踝骨折与胫腓骨螺旋骨折中后踝骨折的分型和治疗效果。
〖HTH〗方法〖HTSS〗〖KG*2〗选择后踝骨折患者157例，其中三踝骨折86例，胫腓骨螺旋骨折合并后踝骨折71例，术前观察后踝骨折的类型，术后观察患者的恢复情况。
〖HTH〗结果〖HTSS〗〖KG*2〗三踝骨折患者的骨折类型更为复杂，类型多为两部分且累及内踝。胫腓螺旋骨折合并后踝骨折患者开始负重时间短于三踝骨折患者， 美国矫形外科足踝协会（American Orthopaedic Foot and Ankle Society，AOFAS）评分高于三踝骨折患者，视觉模拟评分法（Visual Analogue Scale，VAS）评分低于三踝骨折患者，背屈受限程度低于三踝骨折患者，关节炎发生率小于三踝骨折患者，差异均有统计学意义（P＜005）。
〖HTH〗结论〖HTSS〗〖KG*2〗同为后踝骨折，三踝骨折的预后较胫骨螺旋骨折合并后踝骨折更差，应针对三踝骨折采取更为严格的手术方式，以减少术后相关并发症的发生。

关键词: 踝, 骨折, 胫腓骨螺旋骨折

Abstract: ［Abstract］〓Objective〖HTSS〗〓To compare the classification of posterior malleolar fracture in tibial spiral and trimalleolar fracture.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓A total of 156 patients were included in this research. 86 of them were trimalleolar fracture, and the other 71 patients were tibial spiral fracture combined with posterior malleolar fractures. The classification of fracture were identified preoperatively, and functional outcomes were also evaluated postoperatively.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The fracture types in patients with trimalleolar fracture were more complicated.Compared with trimalleolar fracture, the patients with tibial spiral fracture combined with posterior malleolar fractureshad a shorterweighting time, higher American Orthopaedic Foot and Ankle Society(AOFAS) score, lower Visual Analogue Scale(VAS) score, dorsiflexionrestriction were smaller, and the differences were significant in two groups(P＜005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓For patients with trimalleolar fracture, the prognosis was inferior than that of tibial spiral fracture, and more careful plan should be conducted to decrease relative complications before operation.

Key words: ankle, fractures, spiral fracture of tibia and fibula

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