目的:总结非手术疗法治疗踝部骨折脱位的临床疗效,为踝部骨折脱位的治疗提供一种比较好的保守疗法.方法:回顾分析1990年4月至2010年6月收治的踝关节骨折脱位53例,其中男32例,女21例;年龄24～60岁,平均42.5岁;右侧30例,左侧23例.53例均采用中医正骨手法复位,配合小夹板外固定与中药辨证内服,并结合早期功能锻炼治疗,治疗后采用Mazur标准评定踝关节功能.结果:根据Mazur等评分标准,本组53例治疗后平均分(90.11±8.40)分,优36例,良11例,可3例,差3例.结论:以手法复位加夹板固定为主的非手术综合疗法治疗踝部骨折脱位具有操作简便、损伤小的优点.%Objective:To summarize the clinical effects of the manipulative reduction and splint fixation for the treatment of fracture-dislocation of ankle. Methods: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. Results: 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. Conclusion: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.
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