高强缝线张力带在儿童内外踝骨折中的应用

黄安迪; 宋丹; 沈志达; 邓玲珑

doi:10.14188/j.1671-8852.2025.0436

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高强缝线张力带在儿童内外踝骨折中的应用

临床医学研究 | 更新时间：2026-11-05

- 高强缝线张力带在儿童内外踝骨折中的应用
- Application of high strength suture tension band in children with medial and lateral malleolar fractures
- 武汉大学学报（医学版） 2025年46卷第10期页码：1333-1337
- 作者机构：
  
  1.武汉大学中南医院，儿科，湖北武汉 430071
  2.武汉大学中南医院，创伤与显微骨科，湖北武汉 430071
- 作者简介：
  
  黄安迪，女，1995—，主管护师，主要从事小儿及儿童护理方面的研究，E‐mail: 604013233@qq.com
  邓玲珑，男，1988—，医学博士，副主任医师，主要从事骨科创伤及显微外科的研究，E‐mail: linglongd1222@whu.edu.cn
- 基金信息：
  
  湖北省自然科学基金资助项目(2023AFB131)
- DOI：10.14188/j.1671-8852.2025.0436
  中图分类号： R683.42;R726.8
- 收稿：2025-04-29，
  
  纸质出版：2025-10-25
- 稿件说明：
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黄安迪,宋丹,沈志达等.高强缝线张力带在儿童内外踝骨折中的应用[J].武汉大学学报（医学版）,2025,46(10):1333-1337.

HUANG Andi,SONG Dan,SHEN Zhida,et al.Application of high strength suture tension band in children with medial and lateral malleolar fractures[J].Medical Journal of Wuhan University,2025,46(10):1333-1337.
黄安迪,宋丹,沈志达等.高强缝线张力带在儿童内外踝骨折中的应用[J].武汉大学学报（医学版）,2025,46(10):1333-1337. DOI： 10.14188/j.1671-8852.2025.0436.

HUANG Andi,SONG Dan,SHEN Zhida,et al.Application of high strength suture tension band in children with medial and lateral malleolar fractures[J].Medical Journal of Wuhan University,2025,46(10):1333-1337. DOI： 10.14188/j.1671-8852.2025.0436.

摘要

目的

评价高强缝线张力带技术修复儿童踝关节骨折的临床疗效。

方法

回顾性分析2018年4月—2023年5月收治的16例儿童踝关节骨折患者的临床资料。男9例，女7例，其中包含胫骨骨折7例，腓骨骨折4例，合并胫腓骨骨折5例。根据踝关节骨折国际骨科协会（AO）分型，分为A型6例，B型5例，C型5例。所有患儿均在闭合复位失败后采用切开复位高强缝线张力带固定。术后踝关节行X线检查评估骨折愈合情况、患肢畸形及骨骺早闭等，并采用美国足踝外科医师协会（AOFAS）踝与后足功能评分进行踝关节功能评定。

结果

所有患儿均获随访，随访时间14~24个月，平均18.5个月。仅有2例患者分别在术后3周及6周出现钉道炎，给予活力碘消毒1周后，症状消失。16例患儿于术后平均3.69个月达到骨折影像学愈合标准

X线检查未发现明显的骨骺早闭及患肢畸形等并发症。高强线未引起软组织异物反应及患者不适。末次随访根据AOFAS评分系统，总体优良率为100%，其中优13例，良3例。

结论

采用高强度缝线张力带技术治疗儿童踝关节骨折的临床疗效满意，对骨骺损伤小，值得临床推广应用。

Abstract

Objective

To evaluate the clinical effectiveness of high strength suture tension band technique for pediatric ankle fracture fixation.

Methods

The clinical data of 16 pediatric ankle fracture patients treated at Zhongnan Hospital of Wuhan University between April 2018 and May 2023 were retrospectively analyzed. There were 9 males and 7 females

7 tibia fractures

4 fibula fractures and 5 bimalleolar fracture. According to the Arbit‐Orthepaedic (AO) classification of ankle fracture

fractures were categorized as type A (

=6)

type B (

=5)

and type C (

=5). All patients underwent open reduction fixation with high‐strength suture tension band after closed reduction failure. Fracture healing time and postoperative complications were recorded

and American Orthopaedic Foot and Ankle Society (AOFAS) ankle and hindfoot function scores was used to assess ankle joint function.

Results

All pediatric patients were followed up for 14 to 24 months (mean 18.5 months). Only 2 patients developed pin site infection 3 weeks and 6 weeks after surgery

respectively

but recoverd after 1 week of iodine disinfection. The mean time of fracture healing in 16 cases was 3.69 months. X‐ray examination showed no obvious complications such as premature physeal closure or limb deformities. High strength line did not cause soft tissue foreign body reaction or patient discomfort. According to the AOFAS scoring system

the overall excellent to good rate was 100% at the final follow‐up

including 13 excellent cases and 3 good cases.

Conclusion

The high strength suture tension band technique for the treatment in pediatric ankle fracture achieves favorable clinical outcomes with minimal epiphyseal injury risk

supporting its clinical utility.

关键词

Keywords

references

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