外踝内固定器的临床初步应用研究-论文.pdf

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1、泸州医学院学报2014年第37卷第3期276JournalofLuzhouMedicalCollegeVo1．37No．32014外踝内固定器的临床初步应用研究；l：葛建华，鲁晓波，卓乃强，万永鲜，罗雷茗(泸扑I医学院附属医院骨与关节外科，四川泸州646000)摘要目的：通过临床试验研究，论证外踝内固定器治疗外踝骨折的可行性及实用性。方法：病例30例均为闭合性骨折，随机分甲、乙两组，每组15例，分别选择外踝内固定器、重建钢板固定。术前对所有患者踝关节功能Baird-Jackson标准评分；术后复查记录x线片、内固定拆除时间、踝关节功能等。结果：3O例患者术后9～

2、20月随访，平均13．4±2．8月。甲组无术口感染、钢板松动或折断等并发症；乙组2例术口感染致乙级愈合，1例术后钢板螺钉松动借助石膏外固定3月最终骨折愈合，遗留踝关节疼痛。两组骨痂生长定量指标、内固定拆除时间及术后踝关节功能评分等均有统计学意义(P

3、doi：10．3969~．issn．1000—2669．2014．03．012PreliminaryresearchofclinicalapplicationoflateralmalleolarinternalfixatorGeJianhua，LuXiaobo，ZhuoNaiqiang，WanYongxian，LuoLeimingDepartmentofBoneandJointSurgery,theAffiliatedHospitalofLuzhouMedicalCollegeAbstractObjective：Toreserchthefeasibilityan

4、dpracticabilityofinternalfixatorintreatinglateralmalleolarfracture．Methods：3OcaseswereadmittedfromJuly2007toNovember2010，19men，llwomen，19to60yearsold．Allfractureswereclosed．AccordingtoDanis-Weber’Sclassification：WeberB18cases，WeberC8casesandWeberA4cases．Thetimefromgettingi．juredtoacc

5、eptingopertionwas4to20days．Theywererandomlydividedinto2groups，15caseseach；lateralmalleolarinternalfixator(LMIF)andreconstructionplate(RP)wereappliedtofixthelateralmalleolarfracturerespectively．TheanklefunctionwasevaluatedbyBaird—Jackson’Sstandardbeforeoperation．TheX—rayscore，thetimeo

6、ftakingdowninteralfixationandthescoreofanklefunctionwererecordedafteroperation．Results：30caseswerefollowed—upfor9to20months．NoinfectionorinteralfixationfailureoccurredinLMIFgroup．InRPgroup，twocaseshadincisioninfectioncausingdelayedunion，onecasehadinteralfixationfailurewhichwasfixedby

7、plasterslabandhealedthreemonthslater．buttheankleacheremained．Thequantitativeindexofosteotylus．thetimeofdismantlinginteralfixationandthescoreofanklefunctionpostoperationhadsignificantdifferencesbetweenthetwogroups．Conclusion：LMIFissuitabletoallkindsoflateralmalleolarfracture，especiall

8、ytoWeberBand