38例踝关节骨折手术治疗的临床观察

Clinical Observation of 38 Patients with Ankle Fracture Treated by Surgery

目的讨论踝关节骨折患者手术治疗的方法,并观察他们的预后情况。方法分析于我院手术治疗的38例踝关节骨折患者的临床资料。治疗手段均采用切开复位内固定术。外踝用钩状钢板固定,内踝用全螺纹松质骨螺钉及张力带固定。结果患者术后定期复查,随访时间为6个月～2年,平均随访时间为13个月。根据AOFAS评定标准,优27例,良9例,可2例,优良率为94.7%。良好的愈合与术中准确的解剖学复位、稳定的坚固内固定以及术后的积极锻炼密切相关。结论手术是治疗踝关节骨折患者的重要手段,术中准确的解剖学复位、稳定的坚固内固定及术后积极锻炼踝关节功能,可促进踝关节骨折的愈合,恢复良好的功能。

Objective To discuss surgery treatment for patients with ankle fracture,and analyze their prognosis.Methods 38 patients were involved in this study,all of them were treated by rigid internal fixation.The pure titanic plate and screw for lateral malleolus fractures;and the lag cancellous screw and tension band were used for medial malleolus fractures.All the patients followed up regularly after surgery.Results Follow up ranged from 6 months to 2 years,the average was 13 months.According to AOFAS standards,27 patients were performed excellently,9 were well and 2 cases were just ordinarily.The excellent and good rate was 94.7%.The excellent prognosis was related with exact reduction,stable internal fixation and active postoperative rehabilitation.Conclusion Exact reduction,stable internal fixation and active postoperative rehabilitation can help the joint recover to normal function in most cases with ankle fractures.