胫骨下端骨折合并隐匿后踝骨折临床分析探讨

来源 :第二届东方骨科大会 | 被引量 : 0次 | 上传用户:liaoyongsheng123
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  目的:探讨胫骨下端骨折合并后踝骨折的漏诊原因及治疗策略.方法:回顾性分析2010年6月~2013年3月收治的8例胫骨下段骨折合并后踝骨折的诊治过程.结果:7例于术前发现后踝骨折,1例于术中发现.经皮空心无头加压钉内固定后踝7例,1例经解剖钢板结合孔固定后踝,术后未发现骨折块明显移位.平均随访11.2个月,后踝骨折均获骨性愈合,1例胫骨骨折迟缓愈合.结论:胫骨下端骨折常合并隐匿的后踝骨折,单纯X线检查易漏诊,CT检查可明确诊断.后踝骨折无论是否移位,固定都是必须的,经皮空心无头加压钉固定是一种有效的治疗方式.
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