Clinical analysis ofmodified medial incision approach in the treatment of posterior ankle fracture
LENG Shuang-zhi1 SUN Zhi-peng1 ZONGMin2
1.Departmentof Hand and Foot Surgery,Jiaozhou Central Hospital of Qingdao City,Shandong Province,Jiaozhou 266300,China;
2.Departmentof Pathogen Vector,Jiaozhou Central Hospital of Qingdao City,Shandong Province,Jiaozhou 266300,China
Abstract：ObjectiveTo explore the clinical efficacy ofmodified medial incision approach in the treatment of posterior ankle fracture.M ethodsThe clinical data of 61 patients with posterior ankle fracture treated in our department from May to October in 2016 were analyzed retrospectively,the patients were divided into the modified medial approach group(n=30)and the posterolateral approach group(n=31)according to the surgical approach.The intraoperative condition and postoperative recovery of the two groupswere compared.ResultsThe operation time,postoperative weight-bearing time and fracture healing time of themodified medial approach group was shorter than that of the lateral approach group,and the amount of bleeding during operation of themodified medial approach group was less than that of the lateral approach group,with significant difference (P＜0.05).The incidence rate of complication of themodified medial approach group was 3.3%,and the incidence rate of complication of the posterolateral approach group was 6.5%,the difference between the two groups was not statistically significant(P＞0.05).The evaluation of ankle function in the two groups at 6months after operation showed that the excellent and good rate of joint function in themodified medial approach group was 90.00%,and that of the posterolateral approach group was 90.32%,and the difference between the two groupswas not statistically significant(P＞0.05).ConclusionModified medial approach had less invasive and quicker to recover in the treatment of posterior ankle fracture,and is a better operative approach.
Xu HL，LiX，ZhangDY，etal.A retrospectivestudyof the posterior malleolar fractures[J].Int Orthop，2012，36（9）：1929-1936.
[2]
Haraguchi N，Haruyama H，Toga H ，et al.Pathoanatomy of posteriormalleolar fractures of the ankle[J].JBone Joint Surg（Am），2006，88（5）：1085-1092.
[3]
Kitaoka HB，Alexander IJ，Adelaar RS，et al.Clinical rating systems for the ankle-hindfoot，midfoot，hallux，and lesser toes[J].Foot Ankle Int，1994，15（7）：349-353.
[4]
Haraquchi N，Haruyama H，Toga H，et al.Pathoanatomy of posteriormalleolar fractures of the ankle[J].JBone Joint Surg（Am），2006，88（5）：1085-1092.
京公网安备 11010502046607号