【摘要】 目的评价外踝远端钩钢板治疗外踝远端骨折的疗效。方法回顾性分析我院自2013年1月至2017年1月收治的单纯外踝远端骨折27例,男性16例,女性11例;年龄25～55岁,平均年龄(38±9)岁。27例均采用外踝远端钩钢板治疗。术后定期随访,采用踝关节活动度(range of motion,ROM)和评分系统评价踝关节功能康复情况。结果 27例中25例获得随访,术后随访19～47个月,平均(31±9)个月。末次随访时,患侧踝关节活动度ROM(包括屈伸、内翻、外翻)较健侧比较,差异均无统计学意义(P>0.05)。Mazur评分平均(88.64±3.41)分,优17例,良6例,可1例,差1例,优良率92.00%。结论外踝远端钩钢板治疗外踝远端骨折可达到解剖复位,固定牢靠,满足早期功能锻练,有利于踝关节功能康复,操作简便,对软组织刺激小。更多还原

【Abstract】 Objective To evaluate the curative effect of lateral malleolar anatomical hookplate in the treatment of lateral malleolus fractures.Methods During the period from January 2013 to January 2017,27 patients were treated at our institute using lateral malleolar anatomical hookplate for repair of distal lateral malleolus fracture,the average age was(38±9)years old(range 25 to 55).There were sixteen males and eleven females.The functional rehabilitation of the patients’ anklejoints were assessed by the range of motion(ROM)and the Mazurscore retrospectively.Results There were 25 patients were followedup for(31±9)months(range from 19 months to 47 months).At the last followup,the range of motion(ROM)between the healthy sideand the injured side,including flexion,extension,varus and valgus,had no statisticalsignificance(P>0.05).According to the Mazur ankle scores,there were 17 excellent cases,6 good cases,1 fair case,1 poor case,the excellent-good rate was 92.00%,and the scores were(88.64±3.41).Conclusion he treatment of lateral malleolus distal fracture with fibula hook plate has anatomic reduction,firm fixation,easy operation,little stimulation to soft tissue and satisfy early functional exercise,which is helpful to the rehabilitation of ankle function.更多还原