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外科研究与新技术（中英文）

外科研究与新技术 ›› 2016, Vol. 5 ›› Issue (4): 257-260.

• 论著 • 上一篇    下一篇

生物可吸收材料在踝足骨折治疗中的应用

毕刚1,全坤2,胡牧3   

  1. 1. 上海市同济医院骨科
    2. 上海市同济医院
    3. 上海交通大学医学院附属瑞金医院北院骨科
  • 收稿日期:2016-09-18 修回日期:2016-10-28 出版日期:2016-12-28 发布日期:2017-02-17
  • 通讯作者: 毕刚 E-mail:bigang501@163.com

Clinical evaluation of absorbable implants in treatment of ankle and foot fractures

  • Received:2016-09-18 Revised:2016-10-28 Online:2016-12-28 Published:2017-02-17

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摘要： 目的 评价生物可吸收内固定材料在足踝部骨折治疗中的作用。 方法 2010年6月～2014年6月，76例足踝部骨折采用切开复位可吸收材料内固定进行手术内固定。其中男47例，女29例；年龄18～63岁，平均46.5岁。骨折部位：内踝骨折25例；跟骨骨折6例，跖骨骨折45例。 结果 随访12～49个月，平均22.4个月，骨折全部临床愈合；AOFAS评分从术前的平均（35.2±7.1）分提高到术后的平均（93.6±5.6）分。VAS评分由术前（7.3±2.1）分降到（1.2±1.1）分，优良率：96％，异物反应并发症发生率：4％。结论 生物可吸收材料是治疗足踝部骨折的有效方法，正确选择适应症和手术操作是治疗成功的重要因素。

关键词: 可吸收性材料, 足踝, 骨折, 内固定

Abstract: Objective To evaluate the effects of absorbable implants in treatment of ankle and foot fractures. Methods A total of 76 cases with ankle and foot fracture were operated with absorbable implants from June 2010 to June 2014. There were 47 males and 29 females，with average age of 46.5 years(18～63 years).There were 25 ankle frctures, 6 calcaneal and 45 metatarsal fractures. Results All cases were followed up for 12 to 49 months（average 22.4 months）. All fractures healed. The rate of excellent and good clinical results according to AOFAS system was 96%. The incidence of complications was 4%, all were foreign-body reactions. Conclusion The absorbable implant was suitable for ankle and foot fractures. Appropriate indication and operative procedure were important for the successful treatment.

Key words: Absorbable implants, Ankle and foot, Fracture, Internal fixation