Therapeutic effects of treatment of posterior malleolar fractures with medial extension type through posterioromedial and posteriorlateral incision
10.3969/j.issn.1003-0034.2014.06.013
- VernacularTitle:后内外不同入路治疗内侧延伸型后踝骨折疗效比较
- Author:
Shu JIANG
1
;
Qing Shan YIN
;
Shan Xiao GUO
Author Information
1. 衢州市柯城区人民医院
- Keywords:
Ankle joint;
Fractures;
Surgical procedures,operative
- From:
China Journal of Orthopaedics and Traumatology
2014;(6):496-499
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore clinical outcomes of posterior malleolar fractures with medial extension type through posterioromedial and posteriorlateral incision. Methods:From January 2008 to January 2011,25 patients with posterior malle-olar fractures with medial extension type were treated by hollow lag screw. Among them ,15 patients were treated through pos-teromedial incision,including 9 males and 6 females,aged from 21 to 67 years old with an average of 48.1±1.3;there were 5 cases with type A,6 cases with type B and 4 cases with type C,according to Denis Weber classification. Ten patients were treated by through posterior lateral incision,including 6 males and 4 females,aged from 23 to 64 years old with an average of 46.9±1.5;there were 3 cases with type A,5 cases with type B and 2 cases with type C,according to Denis Weber classification. Operation time,blood loss,length of incision,times of X ray exposure and complications of two groups were recorded and com-pared,Baird Jackson effective evaluation were applied for evaluate clinical outcomes. Results:All patients were followed up from 12 to 49 months with an average of 20.6 months. There were significant differences in operation time ,blood loss,times of X ray exposure and complications between two group (P<0.05). While there was no obvious meaning in clinical outcomes be-tween two groups (P>0.05). Conclusion:Treating posterior malleolar fractures with medial extension type through posterome-dial approach can expose and fix fracture under direct vision ,has advantages of shorter operation time ,less X ray exposure and blood loss,is a good choice of surgical approach.
