Thordarson D B, Bains R, Shepherd L E
Foot Ankle Int. 2001 Feb;22(2):123-5. doi: 10.1177/107110070102200207.
Nineteen patients were prospectively randomized for operative treatment of their ankle fracture to be supplemented with or without ankle arthroscopy. All patients had an SER or PER fracture with an intact medial malleolus requiring operative treatment without evidence of intra-articular debris preoperatively. All patients underwent plate fixation of their fibula fracture and had a similar postoperative protocol. Ten patients were randomized to the control group with plate fixation only and nine patients randomized to the plate fixation plus operative arthroscopy. The average follow-up was 21 months. The arthroscopic examination of the study group revealed eight of the nine patients to have articular damage to the dome of the talus. Minimal arthroscopic treatment of these joints was required. All patients healed their fractures. No difference was noted between SF-36 scores or lower extremity scores between the two groups. At short-term follow-up, it does not appear that the arthroscopic procedure will impact upon the patient's eventual outcome in this small group of patients.
19例踝关节骨折患者被前瞻性随机分为两组，一组手术治疗时辅以踝关节镜检查，另一组不进行踝关节镜检查。所有患者均为单纯外踝或后踝骨折，内踝完整，需手术治疗，术前无关节内碎片的证据。所有患者均接受了腓骨骨折钢板固定，术后方案相似。10例患者被随机分为仅行钢板固定的对照组，9例患者被随机分为钢板固定加手术关节镜检查组。平均随访21个月。研究组的关节镜检查显示，9例患者中有8例距骨穹窿有关节损伤。这些关节只需进行微创关节镜治疗。所有患者骨折均愈合。两组之间的SF-36评分或下肢评分无差异。在短期随访中，在这一小群患者中，关节镜手术似乎不会影响患者的最终预后。
