论文部分内容阅读
【目的】探讨侧卧下后外侧切口入路并仰卧位下内侧切口入路治疗三踝骨折的方法及疗效。【方法】应用侧卧下后内侧切口入路并仰卧位下内侧切口入路治疗三踝骨折21例，手术采用先侧卧位下后外侧切口入路，先复位固定外踝，在直视下来复位固定后踝骨折块，然后改为仰卧位内侧切口固定内踝。根据Lange‐Hansen 分型：Ⅳ度旋后‐外旋型18例，Ⅳ度旋前‐外旋型3例。【结果】21例随访6～33个月，平均21个月。根据 Mazur 踝关节评分系统：优13例，良 3例，可5例。【结论】侧卧下后外侧切口入路＋仰卧位下内侧切口入路治疗治疗三踝骨折，直视下复位固定后踝骨折块，可以获得良好的复位和临床疗效。“,”Objective] To explore the feasibility and efficacy of posterolateral recumbent plus inferiomedial supine approach for trimalleolar ankle fractures .[Methods] For 21 cases of trimalleolar ankle fractures ,the posterolateral recumbent plus inferiomedial supine approach was employed .According to the Lange‐Hansen classification scheme ,the types were supination‐external rotation stage Ⅳ ( n = 18) and pronation‐external ro‐tation stage Ⅳ ( n = 3) .[Results] The average follow‐up period was 21 (6 ~ 33) months .Based upon the Ma‐zur evaluation system ,the outcomes were excellent ( n = 13) ,fair ( n = 3) and decent ( n = 5) .[Conclusion]Under direct vision ,the posterolateral recumbent plus inferiomedial supine approach may achieve excellent re‐ductions and fixations for trimalleolar ankle fractures .