背侧抗滑移钢板治疗腓骨远端Danis-Weber B型骨折

The dorsal antiglide plate in the treatment of Danis-Weber type-B fractures of the distal fibula.

作者信息

Winkler B, Weber B G, Simpson L A

机构信息

Klinik fur Orthopadische Chirurgie, Kantonsspital, St. Gallen, Switzerland.

出版信息

Clin Orthop Relat Res. 1990 Oct(259):204-9.

PMID:2119927

Abstract

The results of 93 of 107 consecutive antiglide plate internal fixations of Danis-Weber Type-B fractures of the distal fibula are reported with a follow-up period of just over one year. Using the ankle evaluation scale of Weber, 66.7% excellent, 27.9% good, and only 5.4% poor results were found. The method of dorsal antiglide plate fixation is possible in most of the frequent Type-B ankle fractures. Stabilization is better with the antiglide plate, especially in older patients with osteoporotic bone. Because of these advantages and the biomechanically sound technique, the antiglide plate is recommended for stabilization of the Danis-Weber Type-B fracture of the distal fibula.

摘要

报告了107例连续性腓骨远端Danis-Weber B型骨折采用抗滑移钢板内固定的结果，随访期略超过一年。根据Weber踝关节评估量表，结果为66.7%优秀，27.9%良好，仅5.4%差。在大多数常见的B型踝关节骨折中，采用背侧抗滑移钢板固定方法是可行的。抗滑移钢板固定效果更好，尤其是在骨质疏松的老年患者中。由于这些优点以及该技术在生物力学上的合理性，推荐使用抗滑移钢板来固定腓骨远端Danis-Weber B型骨折。