探讨内踝、外踝与后踝俯卧位联合入路治疗三踝骨折的临床研究

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Abstract Objective To investigate the clinical efficacy of prone position after ankle lateral，posterolateral approach combined with medial joint approach for the treatment of trimalleolar fracture.Methods 52 cases of patients who were treated for trimalleolar fracture in hour hospital from June 2013 to June 2014 in our hospital were selected as the research object，.They were randomly divided into observation group and the control group.The observation group was used the prone position after ankle lateral，posterolateral approach combined with medial joint approach for treatment，the control group was used conventional fracture for treatment.The clinical curative effect was observed.Results For the obervation group，the mean operative time was（93.5±4.6）minutes，the average amount of bleeding was（85.5±10.3）ml，the average hospitalization time of postoperative was（11.2±1.1）days，the average healing time was（5.2±0.5）months.As for the control group，the average operation time was（103.5±8.7）minutes，the average amount of bleeding was（105.5± 8.6）ml，the averaged postoperative hospitalization time was　（13.4±1.5）days，the average healing time was　（5.9±0.8）months.In the observation group，the average operation time，average bleeding volume，postoperative hospitalization time，the average healing time were significantly lower than those in the control group，and there were significant differences （P＜0.05）.There were no fracture displacement，no implant loosening，no wound infection；while the patients of the control group patients were stageⅠhealing，2 cases of fracture displacement，2 cases in the locker，3 cases of wound infection and bone.According to Baird Jackson scoring system was used to evaluate the effect，the result showed that，observation group was excellent in 10 cases，good in 10 cases，6 cases，the excellent and good rate was 76.9%；the control group were excellent in 4 cases，good in 5 cases，17 cases，the overall excellent and good rate was 34.6%，the excellent rate of the obervation group was significantly better than that of the control group，and there was a significant difference　（P＜0.05）. Conclusion The prone position behind the ankle lateral and medial combined approach internal fixation in the treatment of trimalleolar fracture，the treatment efficacy of it is remarkable，the method is simple and reliable，it is worthy of clinical popularization and application.

Key words： Prone position Three ankle fractures Approach Clinical research

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	ZHOU Yu-bin

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ZHOU Yu-bin. Discussion on clinical efficacy and discussion of prone position after ankle lateral，posterolateral approach combined with medial joint approach for the treatment of trimalleolar fracture[J]. 中国当代医药, 2016, 23(19): 96-98.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I19/96

［1］	廖博，张勇，龙华，等.踩关节内固定术后即时关节被动活动评估［J］.中国骨与关节损伤杂志，2010，25（6）：512-514.
［2］	苏琦，陈芒，帅军，等.经后路加压螺钉内固定治疗胫骨平台后髁劈裂骨折［J］.中国骨与关节损伤杂志，2011，26（7）：638-639.
［3］	Luo CF，Sun H，Zhang B，et al.Three column fixation for complex tibial plateau fractures　［J］.J Orthop Trauma，2010，24（11）：683-692.
［4］	王建伟，张巍，罗从风，等.改良后外侧入路联合内侧入路治疗三踝骨折［J］.上海医学，2010，33（1）：59-61.
［5］	Werber M，Ganz R.Malunion following trimalleolar fracture with posterolateral subluxation of the talus：reconstruction including the posterion malleolus［J］.Foot Ankle Int，2003，24（4）：338-334.
［6］	马晓松，马晓东.胫骨平台后柱骨折手术治疗22例［J］.中国骨与关节损伤杂志，2011，26（4）：379-380.
［7］	史井超，马绪巍，黄常福.手术治疗移位的跟骨关节内骨折［J］.临床骨科杂志，2008，11（1）：54.
［8］	东靖明，田旭.以踝关节后外侧入路治疗三踝骨折的临床分析［A］//第十九届全国中西医结合骨伤科学术研讨会论文集［C］.2012：438.
［9］	Minihane KP，Chulhyun ACL，Zhan LQ.et al.Comparison of lateral locking plate and antiglide plate for fixation of distal fibular fractures in osteoporotie bone：a biomechanical study［J］.J Orthop Trauma，2006，20（1）：562-566.
［10］	邓建华，吴俊，韩元龙，等.改良后外侧入路固定后踝骨折的疗效［J］.国际骨科学杂志，2011，32（1）：60-62.
［11］	李颖智，金海鸿，吴方强，等.拉力螺钉固定治疗踝关节旋前外旋型骨折下胫腓联合分离疗效分析［J］.国际骨科学杂志，2012，33（4）：6.
［12］	罗显德，王景超，欧兆强.后内外侧联合入路在陈旧性三踝骨折内固定术中的应用［J］.中国骨与关节损伤杂志，2011，26（2）：167-168.
［13］	Luo CF，Sun H，Zhang B，et al.Three column fixation for complextibial plateau fractures［J］.J Orthop Trauma，2010，24（11）：683-692.
［14］	李忠江，牛礼明.三踝骨折手术治疗体会［J］.按摩与康复医学，2012，3（5）：204-205.