Day G A, Swanson C E, Hulcombe B G
Division of Orthopaedic Surgery, The University of Queensland, Royal Brisbane Hospital, Herston, Australia.
Foot Ankle Int. 2001 Feb;22(2):102-6. doi: 10.1177/107110070102200204.
The long-term outcome of 25 patients with bimalleolar fractures of the ankle was assessed ten to fourteen years following their fractures using the Phillips scoring system. All patients had undergone open reduction and anatomical internal fixation (as described in their operative notes in the medical records). 52% of patients had a good or excellent overall outcome while 24% had a poor overall outcome. This study has the longest follow-up period (10 to 14 years) to date on the outcomes of internal fixation of bimalleolar ankle fractures and demonstrates a higher percentage of poorer outcomes than has been previously described. This trend appears to be predictable as other studies with shorter term follow-up have already established a trend of increasing radiological evidence of post-traumatic arthritis with successively longer-term outcome reports.
采用菲利普斯评分系统，对25例踝关节双踝骨折患者骨折后10至14年的长期预后进行了评估。所有患者均接受了切开复位及解剖内固定（如病历中的手术记录所述）。52%的患者总体预后良好或优秀，而24%的患者总体预后较差。该研究是迄今为止对双踝踝关节骨折内固定术后预后随访时间最长的（10至14年），结果显示预后较差的患者比例高于先前报道。这一趋势似乎是可预测的，因为其他短期随访研究已经确立了一种趋势，即随着长期预后报告的相继出现，创伤后关节炎的放射学证据越来越多。
