| 摘要: |
| [目的] 探讨无痛正骨手法复位配合U型胶布外固定治疗旋后-外旋型踝关节骨折并下胫腓联合损伤的疗效。[方法] 回顾性研究本院2014年1月-2016年1月就诊的71例旋后-外旋型踝关节骨折并下胫腓联合损伤患者，其中38例给予无痛正骨手法复位配合U型胶布外固定治疗，33例给予手术治疗，分别观察两组患者住院时间、住院费用、骨折愈合时间、关节功能恢复时间；骨折治疗后6个月分别通过影像学疗效、Mazur评分系统评价。[结果] 71例患者均获得随访，两组在住院时间、住院费用、骨折愈合时间、关节功能恢复方面比较差异均有统计学意义（P<0.05）；两组治疗后6个月Mazur评分，无痛正骨手法组均优于手术组（P<0.05）。[结论] 无痛正骨手法复位配合U型胶布外固定治疗旋后-外旋型踝关节骨折并下胫腓联合损伤疗效满意、安全可靠。 |
| 关键词: 踝关节骨折 旋后-外旋型 正骨手法 U型胶布外固定 临床疗效 |
| DOI：10.11656/j.issn.1672-1519.2017.12.09 |
| 分类号:R683 |
| 基金项目: |
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| Clinical efficacy research on using manipulation combined external fixation to treat ankle fractures |
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ZHANG Yong-feng1,2, YANG Tuan-min1
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1.Xi'an Jiaotong University, Xi'an 710049, China;2.Department of Orthopaedics, Tongchuan People's Hospital, Tongchuan 727031, China
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| Abstract: |
| [Objective] To discuss clinical efficacy of painless bone-setting manipulation combined U tape external fixation to treat distal tibiofibular syndesmotic injury in supination external rotation-type ankle fractures.[Methods] Retrospective study on 71 cases of patients with the distal tibiofibular syndesmotic injury in supination external rotation-type ankle fractures of our hospital from January 2014 to January 2016. The 38 patients were given painless bone-setting manipulation combined U tape external fixation treatment, another 33 cases of patients with surgical treatment. Length of hospital stay, hospital expenses, fracture healing time and joint function recovery time of patients were observed respectively. Clinical efficacy of fracture treatment after 6 months was evaluated by iconography radio-graphic grading and Mazur scoring system respectively.[Results] By the followed up of 71 patients, hospital stay, hospital expenses, fracture healing time and joint function rehabilitation of comparative differences are statistically significant between two groups (P<0.05). The Mazur score in painless manipulation group were better than operation group after 6 months treatment(P<0.05).[Conclusion] Painless bone-setting manipulation combined U tape external fixation treatment of Ⅱ, Ⅲ degrees distal tibiofibular syndesmotic injury in supination external rotation-type ankle fractures have a satisfied curative effect. It is safe and reliable. |
| Key words: ankle fracture supination external rotation-type bone-setting manipulation U tape external fixation clinical efficacy |
