踝关节骨折畸形愈合。重建的远期结果。
Malunited ankle fractures. The late results of reconstruction.
作者信息
Marti R K, Raaymakers E L, Nolte P A
机构信息
Department of Orthopaedics and Traumatology, University of Amsterdam, Netherlands.
出版信息
J Bone Joint Surg Br. 1990 Jul;72(4):709-13. doi: 10.1302/0301-620X.72B4.2116416.
We have analysed 31 malunited ankle fractures treated by reconstructive osteotomies. In all cases the malunited fibula has been corrected; this has been combined with other osteotomies and with fixation of ununited fragments as indicated. Our results show that, unless function was severely impaired, reconstruction was always worth while, no matter how long ago the injury had occurred and even if there were already arthritic changes.
我们分析了31例采用重建截骨术治疗的踝关节骨折不愈合病例。在所有病例中，均对骨折不愈合的腓骨进行了矫正；并根据需要，结合了其他截骨术以及对未愈合骨块的固定。我们的结果表明，除非功能严重受损，无论损伤发生多久，即使已经出现关节炎改变，重建手术总是值得的。
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