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1、AnkleinjuryLaugeHansen(LH)clinicalclassificationandtreatmentofclinicalpathwayanalysisSpecialityL：OrthopaedicsofTCMAuthor：WangXinglongTutor：Prof.HeYongAbstractObjective:Analysisofthemechanismandpointsankleinjurytype,andinaccordancewithLaugeHansen(LH)eachtypegivecorrespondingtechniquerespectivelyre
2、setandsplintorgessoexternalfixation,openreductionandinternalfixation,anklefractureseachmodelinordertoobservetheclinicalefficacyoftreatment.Methods:Collectionof40casesofankleinjurycases,21casesofmenandwomen19cases,withanaverageageof57.6years(22a78yearsold).Kofoedratingswereretrospectivelyanalyzeda
3、ccordingtothestandardLaugeHansen(LH)eachtypegivecorrespondingtechniquerespectivelyresetandsplintorgessoexternalfixation,andinternalfixation(orifcurativeeffect.Postoperativeoutcomemeasures:85-100dividedintooptimal;75-85pointsgood;70-74dividedintopass;Lessthan70dividedintopoor.Excellent,good,passth
4、esum,differencepercentageforsatisfactionrate.Results:All40patientshadthefollow-up.TheKofoedevaluationcriterion,surgicaltreatmentgroupandclosedthecurativeeffectoftreatmentgroupwasobvious,surgicaltreatmentgroupsatisfactionrate90%,closedreductiongroup90%satisfaction,(P>0.05).Twogroupsofcurativeeffec
5、tinthestatisticalnodifferenceonthetopicintheankleinjurythattreatment,closedreductiongroupandsurgicaltreatmentgroupiseffectivetreatment,clinicalcurativeeffectisdistinct.Conclusions:Ankleinjuryindications:AccordingtotheankleinjurytothestabilityoftheanklestructuraldamagethelighterSAIdegree;SEIdegree
6、,Ⅱdegrees,PA,PEI,Ⅱdegreedamagetoconservativetreatment,non-operativetherapy,gimmickresetsuccess,thedamagemechanismforinverseasearlyaspossibletheresetsplintortheplasterfixed,swellingtocheckafterX-ray,replacetheplaster,sixweekstogessolinefunctionpractice.Fordamagedegreeisheavy,andshiftlargerI,Ⅱdegre
7、edamage,jointstabilityofpoorpatientsinthesofttissueallowsandnooperationcontraindicationdiseaseconditionsearlysurgicaltreatmenttoclaim,themainmeasuresaretakenWaiHuaiinanatomicalrepositioningandfirmlymethod.Fortheunstabl
