A Clinical Analysis of the Ankle Fractures
10.4055/jkoa.1988.23.3.654
- Author:
Woo Nam MOON
;
Sang Won PARK
;
Hong Kun LEE
;
Seung Mu SHIN
- Publication Type:Original Article
- Keywords:
Ankle;
Fractures
- MeSH:
Accidental Falls;
Ankle Fractures;
Ankle;
Arthritis;
Athletic Injuries;
Classification;
Diagnosis;
Female;
Fractures, Closed;
Fractures, Open;
Humans;
Immobilization;
Joints;
Korea;
Male;
Weight-Bearing
- From:The Journal of the Korean Orthopaedic Association
1988;23(3):654-664
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The ankle is a complex, weight bearing joint and its injury result in a severe functional disturbance of complex anatomical characteristics. It is very important to understand the mechanism of trauma in order to make definite diagnosis and proper treatment. The authors analysed 52 cases(52 patients) of the ankle fractures which were admitted and treated in Orthopaedic department, Korea University Hospital from Sept. 1980 to Dec. 1986. The results obtained were as follows : l. Of the 52 cases, male was 32 cases(61.5%), female was 20 cases(38.5%) and average age of the patients was 32.9 years. 2. The causes of the injury were slipping down, traffie accident, falling down and sports injuries, in orders. 3. Open fractures were 8 cases(15.4%) and closed fractures were 44 cases(84.6%). The most common type of the ankle fracture was supination-extenal rotation type(18 cases, 34.1%) and next was pronation-external rotation type(15 cases, 30%), according to the classification of Lauge-Hansen. 4. 38 cases(73.1%) were treated by open reduction and 14 cases(26.9%) by closed reduction, and average duration of immobilization was 7.7 weeks in open reduction and 10.4 weeks in closed reduction. 5. The associated fractures other than ankle was 15 cases(28.8%). 6. The better results were obtained from open reduction and the worst results obtained from pronation-dorsiflexion type, according to the criteria of Meyer. 7. The complication was 7 cases(13.5%), traumatic arthritis 4 cases, malunion 2 cases and nonunion 1 case. 8. Accurate reduction and rigid internal fixation of the fractured lateral malleolus, distal fibular and distal tibiofibular diastasis was important in treatment of the ankle fracture.
