Ren De-Hua, Hou Yong
Department of Orthopaedics, Third Affiliated Hospital of Guangxi College of TCM, Liuzhou, 545001 Guangxi, China.
Zhongguo Gu Shang. 2012 Jan;25(1):62-5.
To summarize the clinical effects of the manipulative reduction and splint fixation for the treatment of fracture-dislocation of ankle.
From April 1990 to June 2010, 53 patients with fracture dislocation of ankle were treated with non-operative treatment including manipulative reduction, splint fixation, oral herbal soup and early functional exercises. There were 32 males and 21 females with an average age of 42.5 years (ranged, 25 to 60). There were 30 cases in left and 23 cases in right. Ankle joint function was evaluated according to standard of Mazur.
Follow up time was from 6 to 60 months with an average of 33 months; all the fractures healed with an average of 4 months (ranged, 3 to 5). The mean of Mazur scoring was 90.11+/- 8.40, 36 cases got excellent results, 11 good, 3 fair and 3 poor.
With non-operative treatment such as manipulative reduction and splint external fixation for fracture-dislocation of ankle can obtain satisfactory effects, which has advantage of simple operation, less trauma.
总结手法整复夹板固定治疗踝关节骨折脱位的临床疗效。
1990年4月至2010年6月，对53例踝关节骨折脱位患者采用手法整复、夹板固定、口服中药汤剂及早期功能锻炼等非手术方法治疗。其中男32例，女21例，平均年龄42.5岁（25～60岁）。左侧30例，右侧23例。按Mazur标准评价踝关节功能。
随访时间6～60个月，平均33个月；所有骨折均愈合，平均愈合时间4个月（3～5个月）。Mazur评分平均为90.11±8.40分，优36例，良11例，可3例，差3例。
采用手法整复、夹板外固定等非手术方法治疗踝关节骨折脱位可获得满意疗效，具有操作简单、创伤小等优点。
