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改良踝关节后外侧入路治疗外、后踝骨折

戴利明 杨东方 刘师良

临床骨科杂志2018,Vol.21Issue(3):348-349,353,3.
临床骨科杂志2018,Vol.21Issue(3):348-349,353,3.DOI:10.3969/j.issn.1008-0287.2018.03.038

改良踝关节后外侧入路治疗外、后踝骨折

Modified posterolateral approach of ankle for treatment of external and posterior malleolus fractures

戴利明 1杨东方 1刘师良1

作者信息

  • 1. 嘉兴市第一医院骨科,浙江 嘉兴 314000
  • 折叠

摘要

Abstract

Objective To evaluate the operation effect of external and posterior malleolus fractures via modified pos-terolateral ankle approach. Methods A total of 52 cases of external and posterior malleolus fractures were treated with open reduction and internal fixation via improved posterolateral approach of the posterior margin of the fibula. Results All patients were followed up for 10~26 (13.5±5.5) months. All fractures healed and the clinical heal-ing time was 10~16 (11.3±4.6) weeks. The curative effect was evaluated according to Baird-Jackson ankle scoring system at the last follow-up. The results were excellent in 39 cases, good in 8 cases, fair in 3 and poor in 2,with the excellent and good rate of 90.4% . Conclusions The modified posterolateral approach for the treatment of external and posterior malleolus fractures is a better approach, with less trauma and clear appearance.

关键词

外、后踝骨折/踝关节后外侧入路/切开复位/内固定

Key words

fracture of external and posterior malleolus/posterior lateral ankle approach/open reduction/internal fixa-tion

分类

医药卫生

引用本文复制引用

戴利明,杨东方,刘师良..改良踝关节后外侧入路治疗外、后踝骨折[J].临床骨科杂志,2018,21(3):348-349,353,3.

基金项目

浙江省医药卫生科研基金B类计划(编号:2016KYB291) (编号:2016KYB291)

临床骨科杂志

OACSTPCD

1008-0287

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