中国骨伤2012，Vol.25Issue(5)：430-432,3.DOI:10.3969/j.issn.1003-0034.2012.05.019
复杂外旋型踝关节骨折中后踝的治疗策略
Surgical treatment for posterior malleolus in complicated external rotation ankle fracture
汤洋 1张春才 1章云童 1李师火 1张欣 1付青格1
作者信息
- 1. 第二军医大学附属长海医院骨科,上海200433
- 折叠
摘要
Abstract
Objective: To evaluate the indications, surgical techniques and clinical effects of the fixation of posterior malleolus in complicated external rotation ankle fractures and illuminate the importance of anatomical reduction and rigid internal fixation of posterior malleolar fracture. Methods: From July 2007 to June 2009,32 patients were treated with open reduction and internal fixation,involving 21 males and 11 females with an average age of 36 years old (ranged from 19 to 68 years old). According to Lauge-Hansen classification: 13 cases of pronation-extemal rotation type (IV ), 7 and 12 cases of supination-ex-temal rotation type (ID and IV ). Postoperative functional exercise and regular follow-up were done and outcome!; were assessed. Results: All the patients were followed up,and the duration ranged from 7 to 20 months,with an average of 14.S months. According to Ankle Hindfoot Clinical Rating System of the American Orthopaedic Foot & Ankle Society (AOFAS) ,23 patients got an excellent result,7 good,2 fair.O poor. Conclusion: Anatomical reduction and rigid internal fixation of posterior malleolar fracture as well as early functional exercise have significance in restoring ankle joint function and reducing the incidence of traumatic arthritis.关键词
踝关节/骨折/骨折固定术,内Key words
Ankle joint/Fractures/Fracture fixation, internal引用本文复制引用
汤洋,张春才,章云童,李师火,张欣,付青格..复杂外旋型踝关节骨折中后踝的治疗策略[J].中国骨伤,2012,25(5):430-432,3.
