The posterolateral approach combined with medial approach fixation for the treatment of tri- malleolar fracture
Author(s): SHI Guo-dong, MA Hui, LI You-de, YE Bin, LU Yang-yang, ZHANG Chi, ZHANG Hai-lin, HONG Fang-ye
Pages: 487-488
Year: 2015 Issue: 4
Journal: Journal of Clinical Orthopaedics
Keyword: posterolateral approach; trimalleolar fracture; medial approach; fracture fixation;
Abstract: Objective To discuss the efficacy of the surgical treatment for trimalleolar fracture by posterolateral ap-proach combined with medial approach fixation. Methods 23 patients of trimalleolar fracture were treated by pos-terolateral approach combined with medial approach. According to Lauge-Hansen classification of ankle fractures:su-pination-external rotation type 15 cases, pronation and abduction type 4 cases, pronation-external rotation type 4 ca-ses. Regular follow-up after operation. Results The operation time was 45~85 (60 ± 15) min. Introperative blood loss was 50~100(71 ± 7. 2)ml. 2 patients were lost to follow-up, 21 cases were followed up for 15~24 months. All the fractures were healed. Normal gait, without the aid of auxiliary tools were obtained. At the last follow-up, accord-ing to the American Orthopaedic Foot and Ankle Society ( AOFAS) ankle and hindfoot score standard functional as-sessment, the results were excellent in 15 cases, good in 4, fair in 2. Conclusions The surgical treatment for tri-malleolar fracture by posterolateral approach combined with medial approach has advantages of safe and convenient approach, revealing clear,accurate reduction of the articular surface can be used directly, and can be stable fixing.
Pages: 487-488
Year: 2015 Issue: 4
Journal: Journal of Clinical Orthopaedics
Keyword: posterolateral approach; trimalleolar fracture; medial approach; fracture fixation;
Abstract: Objective To discuss the efficacy of the surgical treatment for trimalleolar fracture by posterolateral ap-proach combined with medial approach fixation. Methods 23 patients of trimalleolar fracture were treated by pos-terolateral approach combined with medial approach. According to Lauge-Hansen classification of ankle fractures:su-pination-external rotation type 15 cases, pronation and abduction type 4 cases, pronation-external rotation type 4 ca-ses. Regular follow-up after operation. Results The operation time was 45~85 (60 ± 15) min. Introperative blood loss was 50~100(71 ± 7. 2)ml. 2 patients were lost to follow-up, 21 cases were followed up for 15~24 months. All the fractures were healed. Normal gait, without the aid of auxiliary tools were obtained. At the last follow-up, accord-ing to the American Orthopaedic Foot and Ankle Society ( AOFAS) ankle and hindfoot score standard functional as-sessment, the results were excellent in 15 cases, good in 4, fair in 2. Conclusions The surgical treatment for tri-malleolar fracture by posterolateral approach combined with medial approach has advantages of safe and convenient approach, revealing clear,accurate reduction of the articular surface can be used directly, and can be stable fixing.
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