The application of antiskid steel plate on supination-eversion ankle fracture
10.3760/cma.j.issn.1673-4904.2014.11.011
- VernacularTitle:抗滑钢板在旋后外旋型踝关节骨折中的应用
- Author:
Zhenchao GAO
;
Yuanlin GU
;
Hong REN
;
Xiaoming WANG
;
Junhui TANG
;
Jianjie WEI
- Publication Type:Journal Article
- Keywords:
Ankle joint;
Fractures,bone;
Fibula;
Posterolateral approach;
Antiskid steel plate
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(11):27-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the application effect of antiskid steel plate internal fixation via exposing lateral and posterior ankle fracture through fibula posterolateral approach in the treatment of Lauge-Hansen supination-eversion ankle fracture.Methods From January 2009 to December 2012,exposed the lateral and posterior ankle fracture through fibula posterolateral approach of 36 patients suffering from the Lauge-Hansen supination-eversion ankle fracture,and fixed the lateral and posterior ankle by the antiskid steel plate.Adopt Olerud-Molander ankle function scoring system to evaluate the postoperative effect of the ankle.Results All the patients were followed up for 7-27 months,with an average follow-up of 19 months.There was no complications such as incision infection and cutaneous necrosis.Only 1 patient occurred with peroneus myotenositis,and the symptom was relieved after taking out the steel plate.The fracture was healed within 16 weeks.Among the 36 cases,22 cases were excellent,9 cases were good,4 cases were medium and 1 case was poor.The fine rate was 86.1％(31/36).Conclusion Using the antiskid steel plate to treat the lateral and posterior ankle fracture through fibula posterolateral approach,can fully expose a single incision,fix the lateral and posterior ankle and reduce the tension in suture,improve the incision healing rate and fracture stability,provide a new method for treating ankle fracture.
