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可吸收锚钉在Danis-Weber A型外踝骨折中的应用
Application of absorbable suture anchor in Danis-Weber A type lateral malleolus fracture
  
DOI:
中文关键词:  可吸收锚钉  外踝  骨折
英文关键词:Absorbable suture anchor  Lateral malleolus  Fracture
基金项目:
作者单位
张力 冯世波 李艳 郑斌  
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中文摘要:
      目的 观察用可吸收带线锚钉治疗Danis-Weber A型外踝骨折的临床效果。方法 选取2016年1月至2018年6月我院收治的18例扭伤所致Danis-Weber A型外踝骨折患者,均采用切开复位可吸收带线锚钉内固定手术治疗,将患者术前、术后视觉痛觉模拟评分(VAS)及美国足踝矫形协会的踝关节-后足评分进行统计比较,评价疗效,计算优良率。并对术后感染、骨折延迟愈合、不愈合等并发症进行统计分析。结果 随访6~15个月,平均随访9个月,所有患者均无感染,无骨折延迟愈合和不愈合。按美国足踝矫形协会的踝关节-后足评分标准评分,18例评分为80~96分,平均(87.4±2.3)分,疗效满意。结论 采用可吸收带线锚钉治疗Danis-Weber A型外踝骨折,操作简单,固定牢靠,踝关节功能恢复好,且能避免二次取出手术。
英文摘要:
      Objective To observe the clinical effect of absorbable suture anchor in the treatment of Danis-Weber A type lateral malleolus fracture. Methods From January 2016 to June 2018, 18 patients with Danis-Weber A type lateral malleolus fracture caused by sprain were treated by surgical operation with absorbable suture anchors. The score of VAS and the score of AOFAS were compared before and after operation. The curative effect was evaluated, the excellent and good rate was calculated. The complications such as infection, delayed union and nonunion were recorded and analyzed. Results All patients were followed up for 6 to 15 months, with an average of 9 months. No infection, delayed union and nonunion were found in all patients. According to the standard of AOFAS, the scores of 18 cases were 80~96 points. The average score was (87.4±2.3) points, and the curative effect was satisfactory. Conclusion The treatment of Danis-Weber A type lateral malleolus fracture with absorbable suture anchor is simple, reliable, and the function of ankle joint recovers well. It can also avoid the removal operation of internal fixator.
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