开放复位内固定治疗三踝骨折

目的:探讨开放复位内固定治疗三踝骨折的临床疗效。方法:三踝骨折26例,男15例,女11例,开放复位,外踝用腓骨远端解剖钢板内固定,内踝用空心钉或钢丝张力带内固定,后踝用多枚空心钉或钢板螺钉内固定。结果:全部病例均获随访,时间12～18个月,骨折均愈合,无切口感染及创伤性关节炎、关节畸形等并发症发生。关节功能优18例、良6例、较好2例、差0例。结论:三踝骨折后充分术前准备及精准的开放复位内固定后,再辅以及时有效的功能锻炼,能取得良好的治疗效果。

Analysis of Opening Reduction and Internal Fixation to Trimalleolar Fractures

Objective:To explore the clinical efficacy of open reduction and internal fixation to trimalleolar fracture.Methods:26 cases of trimalleolar fracture were collected and performed open ing reduction and internal fixation.There were 15 males and 11 females.Lateral malleolus fracture used distal anatomical plate fixation,medial malleolus fracture used cannulated screws or wire ten sion band fixation,posterior malleolus fracture used cannulated screws or plate and screw fixation.Results:All cases were followed up for 12-18 months,All fractures healed,no wound infection,traumatic arthritis,joint deformities and other complications.Joint function were excellent in 18 cas es,good in 6 cases,fair in 2 cases and bad in 0 cases.Conclusion:After trimalleolar fracture,full preoperative preparation and accurate open reduction and internal fixation,with effectively function exercise,can obtain good therapeutic effect.