摘要
目的探讨三踝骨折手术治疗方法和疗效。方法26例2000年12月～2005年10月手术治疗三踝骨折,按Lauge-Hansen分类旋前外旋10例,旋后外旋型11例,旋后内收型5例。按AO分型:44-A-3型12例,44-B-3型10例,44-C型4例。外踝骨折采用解剖板或1/3管形钢板固定;后踝、内踝折可采用空心螺钉或松质骨螺钉固定。结果26例随访时间3～5年,骨折均骨性愈合,按Baird-Jackson评分系统评价:优13例,良9例,可4例。结论三踝骨折采用合理的手术治疗,使踝关节早期功能锻炼,是提高手术疗效的关键。
Objective To study on the surgical techniques and effect for the trimalleolar fractures. Methods Twenty-six patiens of the trimalleolar fractures were treated from December 2000 to October 2005. According to the system of Lauge-Hansen,the fractures were classitied as prenation-external rotation injury in 10 cases,and supination-external rotation in 11 cases,and supination-adduction rotation in 5 cases. According to the system of AO,the fractures were elassfied 44-A-3 type in 12 case,44-B-3 type in 10 case,44-C type in 4 case. Lateral malleolus was fixed with anatomical plate or 1/3 tubular plate. Posterior and medial malleolus were fixed iliac hollow screw or cancellous screw. Results Twenty-six case had been followed up from 3 years to 5 years. All fractures were healed up. According to the Baird-Jacksonl scoring system, excellent： 13 cases; good： 9 cases; fair： 4 eases. Conclusion Reasonable treatment of the trimalleolar fracture by operation is the key to improve the efficacy of surgery. It helps the patients to practise early exercises of ankle joints.
出处
《中国现代医生》
2009年第25期70-71,82,共3页
China Modern Doctor
关键词
三踝骨折
踝关节
内固定
Trimalleolar fracture
Ankle joint
Internal fixation
