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he bing xia zuo zuo lian he sun shang de zuo guan jie gu zhe ban tuo wei de shou shu zhi liao yan jiu
Author(s): 
Pages: 683-684
Year: Issue:  4
Journal: Zhejiang Journal of Traumatic Surgery

Keyword:  踝关节骨折伴脱位下胫腓联合损伤解剖复位固定;
Abstract: 目的 通过对合并下胫腓联合损伤的踝关节骨折伴脱位的临床诊疗及疗效的分析,寻找比较合理的诊疗方案. 方法 通过手术治疗合并下胫腓联合损伤的踝关节骨折伴脱位42例,根据骨折损伤的机理、损伤时间、骨折周围软组织情况,进行术前评估、术中尽量给予解剖复位固定、术后予积极的康复功能锻炼. 结果 42例均获随访,随访时间10~22个月,根据Baird-Jackson踝关节功能评分标准来进行疗效评价,优良率为95%. 结论 运用现有的辅助检查手段,并进行详细的术前评估及计划,术中骨折解剖复位,术后积极功能锻炼,才能恢复比较满意的关节功能.
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