踝关节骨折分类与手术治疗研究

Ankle Fracture Classification and Surgical Treatment

目的分析研究应用Lange-Hausen分类方法在踝关节骨折治疗中应用。方法选择2009年5月至2010年5月收入院的52例踝关节骨折的患者进行手术治疗,术前应用Lange-Hausen分类方法,采用不同的入路和手术方式,其中旋后内收型8例,旋前外展型11例,旋前外旋型15例,旋后外旋型18例。所有患者均采用手术治疗,术后进行规范的功能锻炼并对疗效进行评定。结果所有患者术后随访6～24个月,平均15个月。骨折愈合12～16周。疗效优41例,良4例,可5例,差2例,优良率为96.15%。结论应用Lange-Hausen分类方法指导踝关节骨折,早期手术及术后早期积极功能锻炼对改善远期疗效非常重要。

Objective To analyze the application of Lange-Hausen classification in ankle fracture treatment.Methods A total of 52 patients with ankle fractures underwent surgical treatment in People＇s Hospital of Central District,Leshan City,from May 2009 to May 2010,were included in this study.They were preoperatively diagnosed according to Lange-Hausen classification and received treatment via different approaches and surgical methods.There were supination adduction in 8 cases,pronation abduction in 11,pronation external rotation in 15,and supination external rotation in 18.All patients were treated by surgery and then received postoperative functional exercise and efficacy assessment.Results All patients were followed up for 6-24 months at an average of 15 months.The fracture healing was observed during 12-16 weeks.Excellent efficacy was achieved in 41 cases,good in 4 cases,moderate in 5 cases and poor in 2 cases,with the good rate of 96.15%.Conclusion Lange-Hausen classification,the early surgery and postoperative functional exercise play an important role on improving long-term efficacy of ankle fractures.