张-侯氏骨折的影响因素分析

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Abstract Objective To analyze the influencing factors of Zhang-Hou’s fractures, and to provide reference value for clinical diagnosis. Methods From January 2016 to December 2021, 196 patients with spiral fractures of the middle and lower 1/3 of tibia admitted to the Department of Orthopedics, the Third Affiliated Hospital of Zunyi Medical University were selected. They were divided into posterior malleolus group and non-posterior malleolus group according to the presence or obsence of posterior malleolus fracture. The general information and imaging data of two groups were recorded and analyzed, logistic regression was used to analyze the influencing factors of spiral fracture of the middle and lower 1/3 of the tibia combined with posterior malleolus fracture. Results The length of the tibia fracture line, the distance from the lowest point of the tibial fracture line to the tibial-talar surface, the distance from the lowest point of the tibial fracture line to the tibial-talar surface accounted for the proportion of the tibial total length (hereinafter referred to as “distance ratio”) in posterior malleolus group were greater than those in non-posterior malleolus group, and the differences were statistically significant (P < 0.05). The length of the tibia fracture line and distance ratio were independent risk factors for the middle and lower 1/3 tibial spiral fracture combined with posterior malleolus fracture (OR > 1, P < 0.05). Conclusion The middle and lower 1/3 tibial spiral fracture complicated posterior malleolus fractures may be affected by various factors. Clinicians can pay close attention to the length of the tibial fracture line and distance ratio. If the above indicators are large, it is necessary to be alert to the occurrence of posterior malleolus fracture to avoid clinical missed diagnosis and bury hidden dangers for later treatment.

Key words： Zhang-Hou’s fracture Posterior malleolus fracture Imaging studies Risk factors

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	LIAO Wei WANG Guang ZHANG Youqiang CHEN Xiaoheng YAN Ling

Cite this article:

LIAO Wei WANG Guang ZHANG Youqiang CHEN Xiaoheng YAN Ling. Analysis of the influencing factors of Zhang-Hou’s fracture[J]. 中国医药导报, 2022, 19(27): 80-83.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I27/80

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