踝关节_____踝关节；_外固定架；_创伤；

可调式踝关节牵引固定架在矫形外科的临床应用

http://www.100md.com 《中国矫形外科杂志》 2006年第2期

踝关节,,踝关节；,外固定架；,创伤；,矫形；,足下垂,1临床资料与方法,2结果,3讨论,参考文献：

     摘要：[目的]探讨可调式踝关节牵引固定架在矫形外科的临床应用及疗效。[方法]自1999年1月～2005年5月，手术治疗马蹄内翻足畸形45例55足，手术治疗后分别行可调式踝关节牵引固定(A组，n=26例，32足)和石膏外固定(B组，n=19例，23足)。随访比较2组关节矫形疗效和踝关节功能评分，并进行样本t检验或x2检验进行统计学比较。[结果]38例患者获得有效随访。就踝关节功能评分和矫形手术疗效进行统计分析，2组间有统计学差异。[结论]本固定架控制踝关节位置准确，可促进踝关节融合，后期踝关节功能恢复满意。

    关键词：踝关节；外固定架；创伤；矫形；足下垂

    Application and clinical results of the adjustable erternal fixation of ankle joint in orthopedic surgery

    CUI Shuke,WANG Xin,CUI Haiwen,et al.

    Department of Orthopaedics,Changzhi People's Hospital,Shanxi 046000

    Abstract：[Objective]To study the application and clinical results of the adjustable erternal fixation of ankle joint (AEFA) in orthopedic surgery.[Method]From January 1999 to May 2005, 45 cases (55 feet)of equinovarus deformity were treated with orthopedic surgery. In order to preventent the deformity relapsion,the patients were assigned to two groups. The A group (26 cases, 32 feet )patients were treated with the adjustable erternal fixation of ankle joint(AEFA). The B group(19 cases, 23 feet)patients were treated with plaster immobilization. The orthopedic surgery effect and functions of ankle joint were studied and tested with independent sample t test and x2 test.[Result]Thirtyeight cases were fellowedup for 3 months to 9 years(averaged 19 months).There were significant difference between the two groups in the functions of ankle joint.[Conclusion]The new apparatus can effectively prevent the footdrop deformity and enhance the function of ankle joint. ......

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