中国组织工程研究

中国组织工程研究 ›› 2015, Vol. 19 ›› Issue (35): 5674-5678.doi: 10.3969/j.issn.2095-4344.2015.35.019

• 骨科植入物 orthopedic implant • 上一篇    下一篇

腓骨远端解剖型钢板与空心螺钉置入内固定修复Danis-Weber B型双踝骨折

马运宏   

  1. 苏州大学附属无锡九院骨科，江苏省无锡市  214000
  • 收稿日期:2015-07-11 出版日期:2015-08-27 发布日期:2015-08-27
  • 作者简介:马运宏，男，1973年生，山东省济宁市人，汉族，2007年遵义医学院毕业，主治医师，主要从事创伤骨科方面的研究。

The distal fibula anatomic plate combined with hollow screw fixation for Danis-Weber B double ankle fractures

Ma Yun-hong   

  1. Department of Orthopedics, Wuxi Ninth Hospital Affiliated to Soochow University, Wuxi 214000, Jiangsu Province, China
  • Received:2015-07-11 Online:2015-08-27 Published:2015-08-27
  • About author:Ma Yun-hong, Attending physician, Department of Orthopedics, Wuxi Ninth Hospital Affiliated to Soochow University, Wuxi 214000, Jiangsu Province, China

PDF

399

被引次数

15

摘要：

背景：踝关节骨折是临床上常见的骨折，Danis-Weber B型骨折所占比例较大，对外踝的解剖复位以及选择适合的内固定物是修复成败的关键。
目的：观察解剖型钢板和空心螺钉联合内固定修复踝关节内外侧面骨折的解剖复位效果。
方法：对2010年3月至2013年10月收治的32例Danis-Weber B型踝关节骨折患者进行回顾性研究，内固定方式外踝均选用钢板螺钉固定，内踝骨块均选用双螺纹加压螺钉固定。采用美国足踝外科协会(AOFAS)的踝与后足评分系统及Kofoed踝关节评分对患者踝关节功能进行评估，以目测类比评分评定修复后疼痛程度的改善，根据影像学结果分析内固定后对线对位的生物力学水平。
结果与结论：所有患者均获得6-24个月随访，所有病例均骨性愈合。治疗后随访6个月患者踝关节AOFAS评分、Kofoed评分及目测类比评分均显著优于治疗前，差异有显著性意义(P < 0.05)。影像学结果显示，内固定后对线对位良好。有1例感染患者，其他无不良反应。提示应用解剖型钢板和空心螺钉置入内固定修复踝关节内、外踝双踝骨折，可发挥解剖钢板与空心螺钉各自的特点及生物力学优势，使骨折达到踝关节的解剖复位。

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

关键词: 植入物, 骨植入物, 双踝骨折, 解剖钢板, 空心螺钉, 内固定, 踝关节, 解剖复位, 生物力学

Abstract:

BACKGROUND: Ankle joint fracture is a common fracture in the clinic. Proportion of Danis-Weber B fracture was large. Anatomic reduction and suitable internal fixator of lateral malleolus are the key for successful repair. 
OBJECTIVE: To analyze the anatomic reduction effect of anatomic plate combined with hollow screw fixation for inner and outer side fracture of the ankle joint. 
METHODS: A total of 32 patients with Danis-Weber B ankle fracture, who were treated from March 2010 to October 2013, were retrospectively analyzed. Plate and screw were used for internal fixation of lateral malleolus. Double thread compression screw was used for fixation of medial malleolus. American Orthopaedic Foot and Ankle Society (AOFAS) Ankle Hindfoot Scale and Kofoed Ankle Rating scale were utilized to assess ankle function. Visual Analogue Scale was applied to evaluate the improvement in the degree of pain after repair. Radiographic analysis was conducted within a fixed position on the line for biomechanical level after internal fixation.
RESULTS AND CONCLUSION: All patients were followed up for 6-24 months. All cases had bony union.  AOFAS score, Kofoed score and visual analogue scale were significantly better at 6 months post-treatment than pre-treatment (P < 0.05). Radiographic results revealed good alignment and contraposition following internal fixation. Only one patient suffered from infection, and others did not have any adverse reactions. These results indicate that anatomic plate and hollow screw fixation for the treatment of the medial malleolus and lateral malleolus fractures of ankle joint can exert their characteristics and biomechanical advantage, so fracture reached anatomical reduction of the ankle. 

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Ankle Joint, Internal Fixators, Bone Nails, Biomechanics

中图分类号: