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目的:采用手法治疗青少年胫骨远端三平面骨折的临床疗效。方法:胫骨远端三平面骨折43例,右踝19例,左踝24例。复位前经X线片或CT检查确诊,全部为闭合性骨折。手法复位后采用夹板外固定治疗。参照美国足踝外科协会(AOFAS)踝与后足功能评分标准进行评估。结果:32例患者均获3~19月随访,平均11月。优26例,良4例,一般2例。X线片检查示所有病例骨性愈合,未发现骨桥形成及关节面不平整现象,无肢体旋转和短缩畸形。结论:胫骨远端三平面骨折采用手法复位能够取得理想效果。
Objective: To treat the tertiary tibial fractures of the tibia in adolescents with manual therapy. Methods: 43 cases of tibial distal plane fracture, 19 cases of right ankle and 24 cases of left ankle. Before the reset by X-ray or CT examination confirmed that all closed fractures. After the reset approach using plywood external fixation. Refer to the American Foot and Ankle Surgery Association (AOFAS) ankle and hind foot function score criteria for evaluation. Results: 32 patients were followed up for 3 to 19 months, with an average of 11 months. Excellent in 26 cases, good in 4 cases, generally 2 cases. X-ray examination showed all cases of bony union, bone bridge formation was found and articular surface irregularities, no limb rotation and shortening deformity. Conclusion: The tibial distal three-plane fractures using manual reduction can achieve the desired effect.