Comparison of two different surgical approaches for the treatment of lateral malleolus fractures
LYU Yangxun1, YANG Lei2.
1.Department of Orthopaedic, Wenzhou Central Hospital, Wenzhou, 325000; 2.Department of Orthopaedic, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325027
LYU Yangxun,YANG Lei. Comparison of two different surgical approaches for the treatment of lateral malleolus fractures [J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2016, 46(3): 205-208.
Abstract：Objective: To compare the outcome of two fixed methods for the treatment of anklebone fractures (stage IV). Methods: The clinical data of 80 patients with anklebone fractures were collected between Jan 2010 to Jan 2014. Forty-eight patients were treated with lateral approaches. Thirty-two patients were treated with posterolateral approaches. The indexs of perioperation, pain score at 3 days postoperative, bone union time, the clinical outcomes and postoperative complications were statistically compared. Results: There were no statistical significance on operation time, perioperative blood loss, bone union time and pain score at 3 days postoperative (P>0.05). The function of ankle score in the postoperative group was significantly higher than that in the lateral group [(44.3±1.5) vs (41.2±1.0)], meanwhile, the incidence of abnormal gait was lower. There were 3 cases of postoperative complications in the postoperative group, it was significantly less than the 6 cases of the lateral group. Conclusion: The lateral approach shows superiority in treatment of anklebone fractures, however, the posterolateral approach has the advantages in stage IV.
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