Choi Jun Young, Kim Ji Hoon, Ko Hyeong Tak, Suh Jin Soo
Surgeon, Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang-si, Gyeonggido, Korea.
Professor, Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang-si, Gyeonggido, Korea.
J Foot Ankle Surg. 2015 Jul-Aug;54(4):559-64. doi: 10.1053/j.jfas.2014.09.043. Epub 2014 Nov 1.
The purpose of the present retrospective study was to describe the single oblique posterolateral approach for open reduction and internal fixation of large, displaced, posterior malleolar fractures with an associated lateral malleolar fracture. A single oblique posterolateral approach was used for osteosynthesis of the posterior and lateral malleolus in 50 consecutive patients (23 females [46%], 27 males [54%]; mean age, 47.44 ± 16.13 years; mean follow-up duration, 26.32 ± 5.15 months). The mean interval to surgery was 4.3 ± 1.9 days after the inciting trauma. During the follow-up period, the surgery was complicated by skin necrosis around the incision in 2 (4%) patients and sural nerve damage in 2 (4%) patients. We found that the single oblique posterolateral approach to large, displaced, posterior malleolar fractures with an associated lateral malleolar fracture provided easy exposure of the posterior and lateral malleoli and had the potential to decrease the incidence of sural nerve injury because of the smaller incision size.
本回顾性研究的目的是描述单斜后外侧入路用于切开复位内固定伴有外踝骨折的大型、移位的后踝骨折。采用单斜后外侧入路对50例连续患者（23例女性[46%]，27例男性[54%]；平均年龄47.44±16.13岁；平均随访时间26.32±5.15个月）的后踝和外踝进行骨合成。受伤至手术的平均间隔时间为4.3±1.9天。随访期间，2例（4%）患者出现切口周围皮肤坏死，2例（4%）患者出现腓肠神经损伤。我们发现，单斜后外侧入路用于治疗伴有外踝骨折的大型、移位的后踝骨折，能够轻松暴露后踝和外踝，并且由于切口较小，有可能降低腓肠神经损伤的发生率。
