陈旧性踝关节骨折脱位的治疗

Treatment of Old Ankle Fracture-Dislocation

1981—1989年对41例陈旧性踝关节骨折(平均损伤后123天),作了切开复位和内固定。经1—8年(平均4.9年)随访的29例中,结果16例为优,6例良,3例尚可,4例差。故作者认为对陈旧性踝关节骨折脱位,即使超过6个月,也应作切开复位;复位成败取决于是否解剖复位,并应在软骨明显破坏前进行。

41 cases of ankle fractures-dislocation were treated by delayed (average 123 days after injury)open reduct and internal fixarion. 29 patients were returned(1-8 years after operation)for clinical and X-ray assessment by the authors. 16 had an reduction and excelient result. 6 had a good result. Fair result was 3 cases. 4 cases were poor(13. 8%). Thus when immediate open reducation is not possible,delayed reduction and fixation of ankle fractures is a reasonable option,even six months after injury. However,an anatomic must be obtained and there are no any sever traumatic arthritic changes.