文章摘要
王龙强王黎明△ 张勇梁斌顾强荣徐燕.Bold 螺钉治疗内踝骨折的疗效分析[J].,2011,11(7):1311-1313
Bold 螺钉治疗内踝骨折的疗效分析
Bold screw for simple fracture of medial malleolus
  
DOI:
中文关键词: Bold 螺钉  内踝  骨折  骨折内固定术
英文关键词: Bold screw  Medial malleolus  Fracture  Internal fixation
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作者单位
王龙强王黎明△ 张勇梁斌顾强荣徐燕 南京医科大学附属南京第一医院骨科 
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中文摘要:
      目的:对比Bold 螺钉和普通空心螺钉内固定治疗单纯内踝骨折的疗效。方法:空心螺钉治疗单纯内踝撕脱骨折57 例,分为 A 组Bold 螺钉内固定治疗内踝骨折25 例,B 组使用普通空心螺钉内固定32 例。结果:两组57 例均获得随访,两组病例远期均能 得到较坚强的固定和良好的功能恢复,但Bold 螺钉组相对普通螺钉组愈合时间更快(P< 0.05),下床活动时间更早(P<0.05),早期 踝关节功能评分高(P<0.05),但六个月后没有明显差异。结论:Bold 螺钉内固定有助于内踝骨折早期愈合和早期功能锻炼,是一种 比较好的内固定材料,值得推广。
英文摘要:
      Objective: To investigate and compare the therapeutic effect of the medial malleolus fracture by internal fixation using Bold screw and ordinary hollow screw. Methods: 57 patients with medial malleolus fracture were divided into tow groups randomly. In group A ,25 patients were operated by internal fixation with Bold screw. 32 patients were operated by internal fixation with ordinary hollow screw in group B. Results: 57 patients were followed up for 9~17 months, the two groups both received stationary fixation for fracture and satisfactory functional restoration in a long-term visit.Compared with group B, the group A got a quicker healing and the shorter time to leave the bed(P<0.05). All the patients were assessed with the American Orthopaedic Foot and Ankle Society(AOFAS) scoring system ,the early score of the group A was higher than group B,but six months after the operation the score of the two groups had no differences. Conclusions: Internal fixation with the Bold screw conduce to the early healing and functional exercise. The bold screw is a better material, which deserves to spread.
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