两种钢板治疗Danis-Weber /AO B型外踝骨折的疗效比较

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (687 KB) HTML (0 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To compare the efficacy of internal fixation with the lateral neutral plate and posterolateral anti-slip plate respectively in the treatment of Danis-Weber/AO type B closed lateral malleolus fractures.Methods Forty-four patients with Danis-Weber/AO type B closed lateral malleolus fractures admitted to hospital between March 2012 and June 2015 were selected and divided into the lateral neutral plate fixation group (neutral group, n=24) and the posterolateral anti-slip plate fixation group (anti-slip group, n=20) according to their willingness. In the neutral group, fractures were anatomically reduced, and appropriate lag screws were placed from the front to the back perpendicularly to the fracture line. The anatomic plate of the lateral fibula was fixed in an appropriate position on the lateral fibula. Anatomic reduction was performed in the anti-slip group. The plates were placed on the posterolateral side of the fibula, and internal fixation was performed with appropriate screws. The minimum follow-up was one year. One year after operation, functional evaluation was conducted according to the American Association of Foot and Ankle Surgeons posterior foot and ankle scoring system (AOFAS), and complications were recorded.Results AOFAS scores of the two groups were 93.7±6.1(neutral group ) and 94.5±6.0 (anti-slip group) respectively one year after operation. There was no statistically significant difference between the two groups (P=0.37).Complications occurred in seven cases (29.3%) in the neutral group, and in three cases (15.0%) in the anti-slip group, including one case of peroneal tendon disease. There was no statistically significant difference in the incidence of complications between the two groups (P=0.31).Conclusion During surgical treatment of Danis-Weber /AO type B lateral malleolus fractures with supination-external rotation type injury, the therapeutic effect of the traditional lateral plate fixation technique and the anti-slip plates is comparable, and the incidence of complications is low. Both approaches are safe and effective.

Key words： lateral malleolus fracture anti-slip plate lateral neutral plate

Received: 20 November 2018

ZTFLH:

R683.42

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LIU Yong
	CHEN Guochuan
	ZHANG Funing
	YU Wei

Cite this article:

LIU Yong,CHEN Guochuan,ZHANG Funing等. Efficacy of anti-slip plate and neutral plate in the treatment of Danis-Weber/AO type-B lateral malleolus fractures[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(5): 437-440.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2019/V30/I5/437

[1]	张晓猛,祁宝昌,鞠维娜,等.外踝骨折治疗的研究进展[J].中国老年学杂志,2017,37(1):220-222.
[2]	Brunner C F, Weber B G. Special techniques in internal fixation[M]. New York: Springer-Verlag; 1982.
[3]	Gumann G. 足踝部骨折[M]. 武勇,译.北京:人民卫生出版社,2009:208.
[4]	Wang Q, Whittle M, Cunningham J, et al.Fibula and its ligaments in load transmission and ankle joint stability[J].Clin Orthop,1996,33(2):261-270.
[5]	Ramsey P L, Hamilton W. Changes in tibiotalar area of contact caused by lateral talar shift[J]. J Bone Joint Surg (Am),1976,58(3):356-357.
[6]	Singh R, Kamal T, Roulohamin N, et al. Ankle fractures a literature review of current treatment methods [J]. Open J Orthoped, 2014,4(5):292-303.
[7]	熊宏林,周述清,张孝华.不同手术入路及钢板放置位置治疗外踝骨折的临床研究[J].创伤外科杂志,2018,20(7):511-515.
[8]	Wissing J C, van Laarhoven C J H M, van der Werken C. The posterior antiglide plate for fixation of fractures of the lateral malleolus[J]. Injury, 1992, 23(2):94-96.
[9]	王小刚,张自强,祁文兵.后置解剖板治疗Danis-Webers-B 型外踝骨折[J].中医临床研究,2017,23(9):79-81.
[10]	刘磊,周建伟,梁钟鸣,等.外踝骨折外侧和后侧钢板内固定的生物力学实验研究[J].中华解剖与临床杂志,2016,21(1):64-68.
[11]	Ostrum R F. Posterior plating of displaced weber B fibula fractures [J]. Orthop Trauma, 1996, 10(3):199-203.
[12]	Lamontagne J, Blachut P A, Broekhuyse H M, et al. Surgical treatment of a displaced lateral malleols fracture: the antiglide technique versus lateral plate fixation [J]. J Orthop Trauma, 2002, 16(7):498-502.
[13]	Velez N M, Moreno A S, Martínez O S, et al. Posterior antiglide plate vs lateral plate to treat Weber type B ankle fractures [J]. Acta Orthoped Mexicana, 2004, 18(1): 39-44.
[14]	Litte M T M, Berkes M B, Lazaro L E, et al. Complications following treatment of supination external rotation ankle fractures through the posterolateral approach[J]. Foot Ankle Int, 2013,34(4):523-529.
[15]	刘勇,王希宁,俞玮,等.旋后外旋型踝关节骨折中外踝骨折后侧抗滑钢板内固定术后出现腓骨肌腱病35例分析[J].宁夏医学杂志. 2018,24(6):554-556.
[16]	唐国皓,陈波涛,彭梅仙,等.后外侧锁定钢板在Danis-Weber B型外踝骨折中应用分析[J].实用中医药杂志,2016,32(2):158-159.

[1]	. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(9): 807-810.