踝关节塔门型骨折22例临床分析

Clinical analysis of twenty-two cases of tower-door type of fracture of ankle joint

踝关节塔门型骨折是一种少见且治疗困难的关节内骨折。本文介绍２２例该类骨折，分别采用单纯手法复位石膏外固定、撬拨复位钢针内固定、切开复位钢针内固定和踝关节融合术等方法。其结果以撬拨复位、切开复位钢针内固定的效果较好，而单纯手法复位石膏外固定和关节融合术的疗效较差，文中着重讨论了该病的发病机理，诊断及治疗等问题。

Tower-door type fracture of the ankle joint is a rare and intra-articular fracture which is difficult to be treated.Twenty two cases of such kind of fracture were treated with simple manipulative reduction and application of plaster of Paris as external fixation,prizing dispelling reduction and internal fixation with steel wire,steel wire internal fixation via open reduction,fusion of the ankle joint etc. Better results were gained with prizing-dispelling reduction and internal fixation with steel wire via open reduction. But simple manipulation with plaster of paris as external fixation and joint fusion had worse results. Pathogenesis of the fracture diagnosis,thera-peutic etc. problems were discussed.