| 距骨骨折后缺血坏死的相关因素分析 |
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投稿时间：2014-07-01
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| 作者 | Author | 单位 | Address | E-Mail |
| 毛建水 |
MAO Jian-shui |
浙江大学医学院附属第二医院骨科, 浙江 杭州 310009 |
Department of Orthopaedics, the Second Hospital Affiliated to Medical College of Zhejiang University, Hangzhou 310009, Zhejiang, China |
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| 叶招明 |
YE Zhao-ming |
浙江大学医学院附属第二医院骨科, 浙江 杭州 310009 |
Department of Orthopaedics, the Second Hospital Affiliated to Medical College of Zhejiang University, Hangzhou 310009, Zhejiang, China |
yezhaominghz@163.com |
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| 期刊信息：《中国骨伤》2015年，第28卷，第4期，第368-370页 |
| DOI：10.3969/j.issn.1003-0034.2015.04.017 |
| 基金项目: |
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中文摘要:
目的:探讨距骨骨折类型和手术方式与骨折后坏死的关系。
方法:自2009年3月至2013年11月收治78例距骨骨折患者,43例随访2～5年,其中男27例,女16例;年龄17～65岁,平均38.6岁。39例距骨颈损伤,4例距骨体损伤。根据损伤情况采取前内侧、前外侧及联合入路手术等方法治疗,受伤后6～48 h进行治疗。分析患者前期骨折类型以及手术方式与后期骨坏死发生概率之间的关系。
结果:78例中43例获随访,19例发生距骨坏死,包括距骨颈Ⅰ型骨折2例,距骨颈Ⅱ型骨折5例,距骨颈Ⅲ型骨折5例,距骨颈Ⅳ型骨折5例,距骨体骨折2例(均为合并距骨颈骨折的患者).共29例采取手术治疗,采用不同手术方式治疗的患者发生距骨坏死的差异无统计学意义。
结论:距骨颈骨折较距骨体骨折更易发生缺血坏死,在距骨颈骨折分型中,Ⅲ、Ⅳ型发生缺血坏死可能性大。 |
| 【关键词】距骨 骨折 骨坏死 外科手术 |
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| Analysis of the relevant factors for ischemic necrosis of the talus fracture |
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ABSTRACT
Objective:To explore the relationship of the classification of talus fracture and surgery methods with avascular necrosis.
Methods:From March 2009 to November 2013, 78 patients with talus fracture were treated, of them, 43 cases were followed up from 2 to 5 years. There were 27 males and 16 females, aged from 17 to 65 years old with the mean of 38.6 years. Thirty-nine cases had talar neck injury and 4 cases had talar body injury. Different treatments were performed according to different injury conditions. The time from injury to treatment was from 6 to 48 hours. The effect of classification of talus fracture and surgery methods on avascular necrosis was analyzed.
Results:In 43 cases, 19 cases occurred avascular necrosis, including talar neck fracture of typeⅠin 2 cases, typeⅡin 5 cases, type Ⅲ in 5 cases, type Ⅳ in 5 cases and talar body fracture in 2 cases (combined with talar neck fracture). And 29 patients were treated with operation, there was no statistically significant differences in avascular necrosis with different operations.
Conclusion:Compared with talar body fracture, talar neck fracture is more easily to develop into avascular necrosis. In the 4 types of talar neck fracture, the possibilities of type Ⅲ and Ⅳ were the most ones. |
| KEY WORDS Talus Fractures Osteonecrosis Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 毛建水,叶招明.距骨骨折后缺血坏死的相关因素分析[J].中国骨伤,2015,28(4):368~370 |
| 英文格式: | MAO Jian-shui,YE Zhao-ming.Analysis of the relevant factors for ischemic necrosis of the talus fracture[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(4):368~370 |
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