季云瀚;马昕;王旭;黄加张;张超;陈立;

• 1:上海市长宁区中心医院骨科
• 2:上海复旦大学附属华山医院骨科

摘要(Abstract)：

[目的]通过对老年性旋后-外旋型踝关节骨折的手术治疗,分析其疗效,探讨有效手术技巧。[方法]2008年1月~2012年12月,依据Lauge-Hansen分型,对66例60岁以上老年旋后-外旋型踝关节骨折患者行切开复位内固定术,其中男20例,女46例;年龄60~89岁,平均67.4岁;旋后-外旋Ⅰ度3例,Ⅱ度8例,Ⅲ度37例,Ⅳ度18例。观察术后骨折愈合和切口愈合及并发症情况,并用美国足踝外科协会(AOFAS)踝与后足评分进行评估。[结果]66例均获随访,随访时间12~36个月,平均20个月。伤口延迟愈合9例;2例轻度腓骨肌腱疼痛;1例内踝骨折延迟愈合;无深部感染、内固定松动、断裂发生;AOFAS疼痛评分(34.3±5.1)分,功能活动评分(41.4±6.9)分,后足排列(10.0±0.0)分,总分(83.6±6.3)分。[结论]手术治疗老年性旋后-外旋型踝关节骨折的并发症少,是治疗的首选。但因骨质疏松、软组织条件差,手术难度增大。提高手术技巧,在确切固定的基础上尽量简化手术过程更为可行。

关键词(KeyWords)： 踝关节骨折;旋后-外旋型;老年;切开复位内固定术

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 季云瀚;马昕;王旭;黄加张;张超;陈立;

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参考文献(References)：

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