Treatment of the Trimalleolar Fracture Using Posterolateral Approach: Minimum 2-year Follow Up Results.
10.12671/jkfs.2011.24.4.328
- Author:
Gwang Chul LEE
1
;
Jun Young LEE
;
Sang Ho HA
;
Jae Won YOU
;
Sang Hong LEE
;
Hong Moon SOHN
;
Ki Young NAM
;
Kwang Hyo SEO
Author Information
1. Department of Orthopaedic Surgery, College of Medicine, Chosun University, Gwangju, Korea. leejy88@chosun.ac.kr
- Publication Type:Original Article
- Keywords:
Ankle joint;
Trimalleolar fracture;
Posterior malleolar fragment;
Posterolateral approach
- MeSH:
Ankle Joint;
Ankylosis;
Arthritis;
Contracture;
Follow-Up Studies;
Humans
- From:Journal of the Korean Fracture Society
2011;24(4):328-334
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To analyze the long term follow up results of treatment with posterolateral approach and to investigate its usefulness in the patients of trimalleolar fracture with posterior fragment which is above 25% of articular involvement. MATERIALS AND METHODS: There were 34 cases of trimalleolar fracture in our hospital from May 2004 to April 2008. We investigated 20 patients who underwent operation with the posterolateral approach and over-2 years follow up cases. The mean follow up period was 34 (24~58) months. Preoperative posterior malleolar fragment involved above 25% of articular surface in all cases and displaced more than 2 mm in 11 cases. We analyzed the radiologic type of posterior malleolar fragments and evaluated the function and pain through AOFAS score and complications. RESULTS: All cases showed primary union at mean 13.1 weeks. The complications are that partial ankylosis result of soft tissue contracture is seen in 2 cases (10%) and post-traumatic arthritis is seen in 1 cases (5%) and 17 cases (85%) of all patients are showed excellent AOFAS score. CONCLUSION: The posterolateral approach is a valuable method because that it enables us to easily reduction and internal fixation of the posterior malleolus and lateral malleolus at one time and the results are satisfied for a long time follow up.
