临床骨科杂志Issue(4)：487-488,2.DOI:10.3969/j.issn.1008-0287.2015.04.045
后外侧入路联合内侧入路内固定治疗三踝骨折
The posterolateral approach combined with medial approach fixation for the treatment of tri- malleolar fracture
石国栋 1马辉 1李幼德 1叶斌 1陆阳洋 1张驰 1张海林 1洪方业1
作者信息
- 1. 上海市第一康复医院骨科，上海 200090
- 折叠
摘要
Abstract
Objective To discuss the efficacy of the surgical treatment for trimalleolar fracture by posterolateral ap-proach combined with medial approach fixation. Methods 23 patients of trimalleolar fracture were treated by pos-terolateral approach combined with medial approach. According to Lauge-Hansen classification of ankle fractures:su-pination-external rotation type 15 cases, pronation and abduction type 4 cases, pronation-external rotation type 4 ca-ses. Regular follow-up after operation. Results The operation time was 45~85 (60 ± 15) min. Introperative blood loss was 50~100(71 ± 7. 2)ml. 2 patients were lost to follow-up, 21 cases were followed up for 15~24 months. All the fractures were healed. Normal gait, without the aid of auxiliary tools were obtained. At the last follow-up, accord-ing to the American Orthopaedic Foot and Ankle Society ( AOFAS) ankle and hindfoot score standard functional as-sessment, the results were excellent in 15 cases, good in 4, fair in 2. Conclusions The surgical treatment for tri-malleolar fracture by posterolateral approach combined with medial approach has advantages of safe and convenient approach, revealing clear,accurate reduction of the articular surface can be used directly, and can be stable fixing.关键词
后外侧入路/三踝骨折/内侧入路/骨折固定术Key words
posterolateral approach/trimalleolar fracture/medial approach/fracture fixation分类
医药卫生引用本文复制引用
石国栋,马辉,李幼德,叶斌,陆阳洋,张驰,张海林,洪方业..后外侧入路联合内侧入路内固定治疗三踝骨折[J].临床骨科杂志,2015,(4):487-488,2.
