踝关节骨折28例诊治分析

Therapy Effect of 28 Ankle Joint Fracture Patients

目的 探讨正确处理踝关节骨折的治疗方法。方法 采用Weber的方法按照腓骨骨折的高低将踝关节骨折分为A ,B ,C三型。A型骨折采用非手术治疗 ,B ,C型采用切开复位内固定。结果 2 8例中优 2 4例 ,良 3例 ,差 1例。优良率达 96 % (2 7/2 8)。结论 正确处理腓骨下段骨折、下胫腓联合分离、保持正常的腓骨长度、踝穴结构 。

Objective To discuss the therapy method of ankle joint fracture. Methods Using Weber method, according to the part of fibula fracture, the ankle joint fracture patients was devided into A, B, C types. A type fracture patients received non operation therapy. B type and C type patients received open reduction and internal fixation. Results Among 28 patients, the therapy results were following: excellent results for 24 cases, favorable results for 3 cases, bad result for 1 case. Choiceness rate reached 96%. Conclusion Rightly managing fracture of inferior end of fibula and inferior tibiofibular syndesmosis separation, remaining normal length of fibula and structure of ankle burrow, are the key to good healing of ankle joint fracture.