Lauge-Hansen分型指导踝关节骨折的诊断及治疗决策

Making Diagnostic and Therapeutic Strategies for Ankle Fractures Under the Guide of Lauge-Hansen Classification

【目的】观察Lauge-Hanse分型对踝关节骨折的诊断及治疗决策指导作用。【方法】使用Lauge-Hansen分型对32例踝关节骨折患者进行分型,分析受伤机制,评估损伤部位及损伤程度,据此制定治疗决策并进行治疗。【结果】(1)本组32例均无术后感染、皮肤坏死、内固定失败及神经损伤等并发症发生。(2)所有患者均得到随访,随访时间8～46个月,平均27个月。32例均获得骨性愈合,完全负重时间2～3个月。足踝功能按AOFAS评分系统评分为80～100分,平均97.7分,其中优30例,良2例。【结论】Lauge-Hanse分型有助于充分诊断踝关节骨折损伤情况,利于做出正确的治疗决策,故获得良好的治疗效果。

Objective To summarize the experience of making diagnostic and therapeutic strategies for ankle fractures under the guide of Lauge-Hansen classification. Methods Thirty-two cases of ankle fractures were classified according to Lauge-Hansen classification system, and their injured mechanism was analyzed. The position and degree of ankle fracture injury were assessed for making therapeutic strategies for ankle fractures patients Results After treatment, none of the cases had postoperative infection, cutaneous necrosis, failure in internal fixation or nerve injury. All of the patients got the follow-up, and the follow-up covered 8-46 months, averaging 27 months. The results of follow-up showed that bone union was obtained in all of the 32 patients, and time for complete weight loading was in 2-3 months. The ankle function score according to AOFAS system was 80-100, and the average score was 97.7. Therapeutic effect on ankle function was excellent in 30 cases, and good in 2 cases. Conclusion Lauge-Hansen classification is benefit to making exact diagnostic and therapeutic strategies for ankle fractures