腓骨钩钢板治疗腓骨远端粉碎性骨折30例

30 Cases of Distal Fibular Co,,inuted Fracture Treated with Fibula Hook Plate

目的：探讨腓骨钩钢板治疗腓骨远端粉碎性骨折的经验及临床疗效。方法2012年2月~2014年4月，对30例腓骨远端闭合性粉碎性骨折行切开复位腓骨钩钢板内固定术，术后对踝关节功能进行评分，并观察并发症如伤口感染、骨折不愈合、内固定失败等的发生情况。结果所有病例均得到完整随访，随访时间12~36（平均24）个月。术后4~6周 X 线片均可见骨折线模糊；术后12~24周均达到临床愈合。伤口均一期愈合，无踝关节不稳。AOFAS 评分踝关节功能评分为45~94（平均87.1）分，其中优16例，良9例，可3例，差2例，优良率83.3%。结论对于腓骨远端粉碎性骨折，腓骨钩钢板具有手术时间短，手术创伤小、复位好、固定牢固、术后功能恢复满意等优点。

Objective To investigate the effect of fibula hook plate in the treatment of distal fibular comminuted fracture. Methods 30 patients with distal fibular comminuted fracture were treated with fibula hook plate from Feb. 2012 to Apr. 2014. The function of ankle joint was evaluated after operation. Complications like wound infection,non-union of fracture,internal fixation failure were observed. Results All the cases were followed up for 12 to 36 months （an average of 24 months）. No obvious fracture line could be seen on the radiographs 4 to 6 weeks after operation. Clinical healing was achieved 12 to 24 weeks after operation. All surgical incisions healed adequately. There were no instability of ankle. According to AOFAS ankle joint scoring scale system,the final result was scored from 45 to 94（av-erage 87. 1）. There were excellent in 16 cases,good in 9,fair in 3,and poor in 2 cases. The excellent and good rate was 83. 3% . Conclusion Fibula hook plate has the advantages of short operation time,small injury trauma,firm fixa-tion and functional recovery satisfaction in the treatment of distal fibular comminuted fracture.