经皮锁定钢板联合四指西方治疗胫骨远端骨折

[Percutaneous locking plate combined with Sizhi-Xifang for treatment of the distal tibial fracture].

作者信息

Xia Yong-Fa, Wang Xi-Bo, Liu Wu-Bin

出版信息

Zhongguo Gu Shang. 2010 May;23(5):394-6.

PMID:20575304

Abstract

OBJECTIVE

To observe the clinical effect of Sizhi-Xifang in the improvement of postoperative ankle function.

METHODS

From Jan. 2006 to Mar. 2008,49 patients were divided randomly into treatment group and control group. The treatment group included 16 males and 8 females with an average age of (41.3 +/- 13.2) years, involving 13 cases of tye A, 9 of type B and 2 of type C based on AO classification. The control group included 15 males and 10 females with an average age of (38.2 +/- 10.9) years, involving 12 cases of type A, 10 of type B, 3 of type C. Minimal invasive percutaneous plate were used in each group. In treatment group 24 cases were treated with Sizhi-Xifang after the incisions were healed.

RESULTS

There were no incision infections, flaps necrosis, bone and plate exposure after treatment in two groups. All patients were followed-up for 4 to 16 months with an average of 8.6 months. According to Johner-Wruhs evaluation standard, there were 7 cases in excellent, 12 good, 5 in fair in treatment group and in control group there were 5 cases in excellent, 7 in good, 10 in fair and 3 in poor. The comparison of effect between two groups had significant difference (P < 0.05).

CONCLUSION

Sizhi-Xifang is helpful to improve the ankle postoperative function.

摘要

目的

观察四指洗方对改善踝关节术后功能的临床疗效。

方法

2006年1月至2008年3月，将49例患者随机分为治疗组和对照组。治疗组男16例，女8例，平均年龄（41.3±13.2）岁，根据AO分类，其中A型13例，B型9例，C型2例。对照组男15例，女10例，平均年龄（38.2±10.9）岁，其中A型12例，B型10例，C型3例。两组均采用微创经皮钢板固定。治疗组24例在切口愈合后采用四指洗方治疗。