开放复位内固定治疗三踝骨折

Analysis of Opening Reduction and Internal Fixation to Trimalleolar Fractures

目的:探讨开放复位内固定治疗三踝骨折的临床疗效。方法:三踝骨折26例,男15例,女11例,开放复位,外踝用腓骨远端解剖钢板内固定,内踝用空心钉或钢丝张力带内固定,后踝用多枚空心钉或钢板螺钉内固定。结果:全部病例均获随访,时间12～18个月,骨折均愈合,无切口感染及创伤性关节炎、关节畸形等并发症发生。关节功能优18例、良6例、较好2例、差0例。结论:三踝骨折后充分术前准备及精准的开放复位内固定后,再辅以及时有效的功能锻炼,能取得良好的治疗效果。

Objective： To explore the clinical efficacy of open reduction and internal fixation to trimallcolar fracture. Methods： 26 cases of trimalleolar fracture were collected and performed open-ing reduction and internal fixation. There were 15 males and 11 females. Lateral malleolus fracture used distal anatomical plate fixation, medial malleolus fracture used cannulated screws or wire ten- sion band fixation, posterior malleolus fracture used cannulated screws or plate and screw fixation. Results： All cases were followed up for 12-18 months, All fractures healed, no wound infection, traumatic arthritis, joint deformities and other complications. Joint function were excellent in 18 eas-es, good in 6 cases, fair in 2 eases and bad in 0 cases. Conclusion ： After trimalleolar fracture, full preoperative preparation and accurate open reduction and internal fixation, with effectively function exercise, can obtain good therapeutic effeet.