摘要
目的评价行腓骨后外侧入路治疗三踝骨折尤其是后踝骨折的临床疗效。方法回顾性分析2006年7月-2011年7月采用踝关节后外侧入路治疗32例三踝骨折患者的临床资料,其中Lauge—Hansen旋后外旋型Ⅳ度22例,旋前外旋型Ⅳ度10例,均采用切开复位内固定手术治疗。结果术后通过12—18个月(平均15.5个月)的随访,所有患者均达到骨性愈合。根据美国足踝外科学会(American Orthopaedic Foot & Ankle Society,AOFAS)问卷调查,平均得分为90.75分,结果为优。根据Kellgren创伤性关节炎分级:0级8例,I级18例,Ⅱ级5例,Ⅲ级1例,疗效满意。结论采用腓骨后外侧入路治疗三踝骨折,可以直接对后踝骨折进行复位与固定,疗效满意,值得临床应用。
Objective To evaluate the outcome of posterolateral approach to the fibula for trimalleolar fractures, especially the fracture in posterior malleolus. Methods Thirty-two patients with trimalleolar fractures treated via posterolateral transmalleolar approach from July 2006 to July 2011 were analyzed retrospectively. All underwent open reduction and internal fixation, including 22 Lauge-Hansen grade IV supination-external rotation ankle fractures and 10 Lauge-Hansen grade IV pronation-external rotation ankle fractures. Results All fractures had bone union after the follow-up of average 15.5 months (range, 12-18 months). Average American Orthopedic Foot & Ankle Society (AOFAS) score was 90.75 points, suggesting an excellent result. Kellgren grading system for posttraumatic arthritis severity was grade 0 in eight patients, grade Ⅰ in 18, grade Ⅱ in five, and grade In in one, which turned out to be satisfactory. Conclusions Posterolateral approach to the fibula for trimalleolar fractures allows direct reduction and fixation of posterior malleolus fragment in treatment of trimalleolar faetures and the clinical outcome is satisfactory. Moreover, the approach deserves clinical practice.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2013年第6期536-540,共5页
Chinese Journal of Trauma
关键词
踝损伤
骨折固定术
内
外固定器
后外侧入路
Ankle injuries
Fracture fixation, internal
External fixators
Posterolateralapproach