内踝截骨方法治疗距骨颈骨折的临床效果

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Abstract Objective To explore the clinical effect and value of internal malleolous osteotomy in the treatment of complex talar neck fracture.Methods From October 2010 to October 2015,50 patients with talar neck fracture admitted into our hospital was retrospectively analyzed.By cannulated screw for internal fixation via internal malleolous osteotomy and traditional surgical approach,they were evenly divided into experimental group and control group in random.Based on operation time,postoperative complications,and wound healing time,the therapeutic effect was compared.Results By different methods in the two groups,according to Hawkins efficacy evaluation standard,the number of excellent,good,acceptable and poor cases was 23 cases(92%),1 case(4%),1 case(4%),and 0 case(0%)in the experimental group,and the excellent and good rate was 96%.In the control group,the number was 18 cases(72%),3 cases(12%),3 cases(12%), and 1 case(4%)respectively,and the excellent and good rate was 84%.The operation time in the experimental group was(80±5)min,greatly shorten than that in the control group of(110±10)min with a statistical difference(P<0.05). Conclusion In the treatment of talar neck fracture,internal malleolous osteotomy is simple in performance with advantages of good fixation,small wound,and few adverse reactions.It can decrease the incidence of avascular necrosis in talus and is better than by traditional surgical approach,which is worthy of clinical promotion.

Key words： Talar fracture Internal malleolous osteotomy Clinical efficacy

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	YANG Yong
	SHEN Zhao-liang
	LIU Yi-jun

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YANG Yong,SHEN Zhao-liang,LIU Yi-jun. Clinical effect of internal malleolous osteotomy in the treatment of talar neck fracture[J]. 中国当代医药, 2016, 23(18): 57-59转62.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I18/57

[1]	王兴中，何维英，宣晓国.经内踝截骨入路加压空心螺钉固定治疗距骨颈骨折[J].中医正骨，2013，25(4)：36-37.
[2]	郭前进，王亮，甄相周，等.内踝截骨入路加压空心螺纹钉固定术治疗Hawkins三型距骨颈骨折[J].中医正骨，2012，24(8)：49-50.
[3]	陈海涛，梁群英，赵汝平，等.经内踝截骨入路内踝前动脉舟骨瓣移植治疗距骨颈骨折[J].中国骨与关节损伤杂志，2012，27(12)：1135-1136.
[4]	胡胜，李浩.经内踝截骨入路内固定治疗复杂距骨颈骨折14例分析[J].中国实用医药，2011，6(5)：178-179.
[6]	Babu N，Schuberth JM.Partial avascular necrosis after talar neck fracture[J].Foot Ankle Int，2010，31(9)：777-780.
[7]	王斌，杨惠林，张志明，等.经内踝截骨入路中空加压螺钉治疗距骨颈骨折[J].临床骨科杂志，2009，12(2)：168-170.
[8]	杨小奇，茅治湘，钱春晓，等.距骨骨折50例疗效分析[J].临床骨科杂志，2006，9(1)：45-46.
[10]	Hawkins LG.Fractures of the neck of the talus[J].J Bone Joint Surg Am，1970，52(5)：991-1002.
[5]	Gonzalez A，Stern R，Assal M，Reduction of irreducible Hawkins 3 talar neck fracture by means of a medial malleolar osteotomy：a report of three cases with a 4-year mean follow up[J].J Orthop Trauma，2011，25(5)：47-50.
[9]	Lindvall E，Haidukewych G，Dipasuale T，et al.Open reduction and stable fixation of isolated，displaced talar neck and body fractures[J].J Bone Joint Surg Am，2004，86(10)：2229-2234.
[11]	马锋，高俊，沈军，等.踝关节前内侧入路加压空民主螺纹钉治疗距骨颈骨折[J].宁夏医学：学报，2008，30(6)：788-789.
[12]	夏世银，薛治宇，彭凌.经内踝截骨入路可吸收螺钉治疗距骨体骨折[J].中国骨伤，2009，22(7)：541-542.
[13]	刘华水，布金鹏，谢新敏，等.急诊经内踝截骨入路治疗距骨颈骨折合并距骨体脱位[J].中国骨伤，2009，22(12)：895-896.
[14]	吴富章，卜海富，蔡靖宇，等.复杂距骨骨折脱位的手术策略[J].中国骨与关节损伤杂志，2007，22(5)：385-387.
[15]	卢士壁.足与踝[M].2版.沈阳：辽宁科学技术出版社，2004：469.
[16]	Vallier HA，Nork SE，Barei DP，et al.Talar neck fractures：results and outcomes[J].JBone Joint Surg Am，2004，86(8)：1616-1624.