Broos P L, Bisschop A P
University Hospitals, Katholieke Universiteit, Leuven, Belgium.
Injury. 1991 Sep;22(5):403-6. doi: 10.1016/0020-1383(91)90106-o.
By means of a simple and easy classification, namely uni, bi- and trimalleolar ankle fractures, and the localization of the fracture at the level of the fibula; all of the 612 ankle fractures that were surgically treated at the Leuven University Hospital were easily classified. In 590 cases the results were collected 1 year after the operation by means of an evaluation system based on symptoms, clinical findings and radiographic findings. The influence of the type of fracture was analysed and led to the following conclusion: 1. Unimalleolar fractures have a better prognosis than trimalleolar fractures. 2. An isolated medial malleolar fracture gives a worse final result than an isolated lateral malleolar fracture. 3. Multimalleolar fractures, including the medial malleolus, have a worse prognosis than multimalleolar fractures without medial malleolar fractures. 4. Even after perfect internal fixation, the presence of a posterior fragment larger than one-third of the articular surface leads to a worse final result than a small unfixed fragment. 5. Weber's classification may not be useful for prognosis.
通过一种简单易行的分类方法，即单踝、双踝和三踝踝关节骨折，以及骨折在腓骨水平的定位；鲁汶大学医院接受手术治疗的612例踝关节骨折均易于分类。在590例病例中，术后1年通过基于症状、临床检查结果和影像学检查结果的评估系统收集结果。分析了骨折类型的影响并得出以下结论：1. 单踝骨折的预后优于三踝骨折。2. 单纯内踝骨折的最终结果比单纯外踝骨折更差。3. 包括内踝的多踝骨折比不包括内踝的多踝骨折预后更差。4. 即使在完美的内固定后，存在大于关节面三分之一的后踝骨折块导致的最终结果比小的未固定骨折块更差。5. 韦伯分类法对预后可能无用。
