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Surgical Treatment Of Talus Fracture Of The Clinical Observation

Posted on:2010-09-11Degree:MasterType:Thesis
Country:ChinaCandidate:D W GongFull Text:PDF
GTID:2144360275987446Subject:Orthopedics scientific
Abstract/Summary:PDF Full Text Request
Objective: Analysis of traditional Chinese medicine hospital in Shandong Province near 8-year implementation of talus fracture surgery clinical results, and based on this retrospective analysis of talus fracture in patients with basic information structure, causes, injury mechanism, surgical treatment, postoperative complications and rehabilitation exercises several aspects, with a view to further explore the comprehensive treatment measures, in order to improve the level of clinical treatment. Method: Traditional Chinese medicine hospital in Shandong Province by the medical record room electronic medical record retrieval, to meet the requirements of the text of talus fracture in patients with medical record data manually, according to the bone fracture healing standards, AOFAS (American Foot and Ankle Society) ankle and hind foot function score (100 points) combined with the evaluation criteria in patients with out-patient follow-up visits, telephone follow-up, history, information given to systematic reviews, through the statistical software SAS8.0 the results analyzed.Results: After follow-up of standard medical records a total of 31 cases, 12 cases of the left side, right side of 20 cases, bilateral Example 1, making a total of 32 feet. Talus fracture etiology, the patient age, sex, physical distribution are statistically significant differences (P <0.05); talus Matti-Weber type distribution and fracture healing time was significant statistical difference (P <0.05); different age, type of group after six months, one year functional score statistical analysis, age group, no significant statistical difference (P> 0.05), the type of group has a significant statistical difference (P <0.05); after one year functional score cast immobilization in different ways and different modes of surgical approach was no significant statistical difference (P> 0.05); after the distribution of various complications have significant statistical difference (P <0.05). Conclusion: 1. Talus fracture in descending order of incidence of the reasons for falling injury, traffic accident injury. 2. Talus fracture patients aged 36 and above the largest share; a larger proportion of men is about 4 times that of women; the right than the left side of the number of fractures. 3. Talus Matti-Weber typeâ…¢were more fracture, fracture healing time with the injury serious and extended;â…¡fracture after a year in higher functional score. 4. Gypsum after different fixation methods on the AOFAS score had no significant effect. 5. Post-operative complications of traumatic arthritis accounted for a larger proportion. 6. Surgical approach used before the medial ankle and foot, anterolateral in two ways, both the line screw or (and) Kirschner wire fixation, restoration of foot function in patients with obvious that surgery is the treatment of talus fracture reliable way.
Keywords/Search Tags:talus fractures, surgery, follow-up, retrospective analysis
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