后外侧入路治疗踝关节骨折临床分析

Therapeutic Effect of Posterolateral Approach in Treatment of Ankle Fractures

目的：探讨后外侧入路切开复位内固定踝关节骨折的治疗效果。方法：回顾性分析我院2010年7月～2013年8月收治的踝关节骨折63例,采用后外侧入路切开复位内固定治疗。结果：术后随访8～36月,平均12月,术后未发生骨折延迟愈合、骨不连、畸形愈合、螺钉钢板断裂等并发症,按照AOFAS足踝评分系统评分,本组病例95～100分27例,90～95分30例,80～90分6例,平均95.7分,优良率90.47%。结论：后外侧入路治疗踝关节骨折可取得满意的骨折复位及临床疗效。

Objective： To explore the therapeutic effect posterolateral approach for Open Reduction and Internal Fixation of ankle fractures. Methods： Retrospectiveanalysis was adopted to analyze the data of 60 cases of ankle fractures admitted in our hospital from July,2010 to August,2013. Posterolateral approach was employed for open reduction and internal fixation of ankle fractures. Results： All selected patients were followed up for 8 ～ 36 months（ average 12 months）. There were no delayed union,bone ununion,malunion,and plate breakage. According to the AOFAS ankle evaluation system,the number of patients whose results was 95 ～ 100,90 ～ 95,80 ～ 90 was respectively 27,30,6. The total percentage of good to excellent clinical results was 90. 47%. Conclusion： The posterolateral approach for Open Reduction and Internal Fixation of ankle fractures can provide satisfactory fracture reduction and clinical effect.