手术固定后踝骨折块的疗效

The effect of surgical fixation of posterior malleolus fracture block

目的探讨手术固定后踝骨折块的疗效。方法采用手术固定治疗60例后踝骨折患者。记录骨折愈合时间、扶拐时间、下地完全负重时间及术后并发症发生情况。术后6个月采用Biard-Jackson踝关节评分评价临床疗效。结果患者均获得6个月随访。骨折愈合时间7~11(9.5±0.8)周,扶拐时间8~13(11.2±0.8)周,下地完全负重时间9~15(12.9±0.7)周。随访期间1例畸形愈合,1例下肢深静脉血栓,1例活动受限。术后6个月采用Biard-Jackson踝关节评分评价临床疗效:优13例,良25例,可19例,差3例,优良率为63.33%(38/60)。结论手术固定后踝骨折块治疗后踝骨折,疗效显著,可有效改善患者踝关节功能。

Objective To investigate the effect of surgical fixation of posterior malleolus fracture block.Methods The 60 patients with posterior malleolus fracture were treated by internal fixation.The fracture healing time,crutching time,loading full weight-bearing time were observed.The complications were recorded.At 6 months postoperation,the clinical effect was evaluated by using the Biard-Jackson ankle joint score.Results All patients were followed up for 6 months.The fracture healing time was 7~11(9.5±0.8)weeks,the crutching time was 8~13(11.2±0.8)weeks,and the loading full weight-bearing time was 9~15(12.9±0.7)weeks.During follow-up,malunion occurred in 1 patient,there was deep venous thrombosis in 1 patient,and activity limitation in 1 patient.According to the BiardJackson ankle joint score at 6 months postoperation,there were excellent in 13 cases,good in 25 cases,fair in 19 cases,poor in 3,the excellent and good rate was 63.33%(38/60).Conclusions Fixation of posterior malleolus fracture fragments is effective in the treatment of posterior malleolus fracture,which can effectively improve the ankle function of patients.