Posterior malleolar fracture: technique and clinical experience of the posterolateral approach

HUANG Ruo-kun; XIEMing; ZHAO Jing-jing; XIAO Kai; KAN Wu-sheng

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Posterior malleolar fracture: technique and clinical experience of the posterolateral approach

机译：后踝骨折：后外侧入路的技术和临床经验

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Objective:To introduce the posterolateral surgical approach to the posterior malleolar fracture and report its clinical outcomes in 32 cases.Methods:This study consisted of 32 cases,22 males and 10 females with the mean age of 48 years(range,21-63years),suffering from posterior malleolar fracture.All cases were treated with the posterolateral surgical approach to the ankle.The average follow-up period was 28 months (range,24-35 months).The clinical outcomes of these cases were evaluated on the basis of the Olerud-Molander Ankle (OMA)score and plain radiographs.Results:All cases showed radiological evidence of bony union at follow-up.The average OMA score was 82 points; 21 cases had excellent scores(90-100 points),9 good (61-90 points),and 2 fair(31-60 points).The excellent-togood rate was 93.8％.Although most cases did not show any wound dehiscence or necrosis,one patient had a superficial infection which healed after using antibiotic dressing and one had sural cutaneous nerve injury that underwent spontaneous remission without any treatment after three months.In addition,one presented with mild symptoms of peroneal tendonitis that disappeared after plateremoval.Conclusion:The posterolateral approach offers an effective technique for fracture reduction and fixation of large posterior malleolar fragments.

机译：目的：介绍后踝骨折后外侧手术入路并报告其临床疗效32例。方法：本研究共32例，男22例，女10例，平均年龄48岁（21-63岁）。所有病例均接受踝关节后外侧手术治疗。平均随访时间为28个月（范围24-35个月）。结果：所有病例在随访中均表现出骨结合的放射学证据，平均OMA评分为82分。优良评分21例（90-100分），优良9例（61-90分），一般2例（31-60分）。优良率达93.8％。坏死，一例患者使用抗生素敷料后表浅感染已which愈，一例经腓肠肌神经损伤并在三个月后未经任何治疗就自发缓解。另外，一例表现为轻度的腓肠肌腱炎症状，在钢板去除后消失了。结论：后外侧入路为骨折复位和大后踝骨折固定提供了一种有效的技术。

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《中华创伤杂志（英文版）》 |2012年第1期|23-26|共4页
作者
HUANG Ruo-kun; XIEMing; ZHAO Jing-jing; XIAO Kai; KAN Wu-sheng;
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Department of Foot & Ankle, Pu Ai Hospital, Huazhong University of Science and Technology, Wuhan 430033,China;

Department of Foot & Ankle, Pu Ai Hospital, Huazhong University of Science and Technology, Wuhan 430033,China;

Department of Foot & Ankle, Pu Ai Hospital, Huazhong University of Science and Technology, Wuhan 430033,China;

Department of Foot & Ankle, Pu Ai Hospital, Huazhong University of Science and Technology, Wuhan 430033,China;

Department of Foot & Ankle, Pu Ai Hospital, Huazhong University of Science and Technology, Wuhan 430033,China;

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Posterior malleolar fracture: technique and clinical experience of the posterolateral approach

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