Lindsjö U
Clin Orthop Relat Res. 1985 Oct(199):28-38.
In a prospective study of 321 consecutive cases of dislocation ankle fractures, operatively treated according to the AO (ASIF) principles, 306 cases (95%) were followed up two to six years after surgery. The infection rate was 1.8% with no septic arthritis. The clinical results were "excellent and good" in 82%, "acceptable" in 8%, and "poor" in 10%. Posttraumatic arthritis occurred in 14% and was significantly more common among middle-aged women. There was a strong correlation between the degree of arthritis and the clinical result. A computer analysis (AID) revealed that the most decisive factors influencing the clinical result were the type of fracture, the accuracy of the reduction, and the sex of the patient. Exact reduction, rigid internal fixation, early postoperative joint exercises, and subsequent full weight-bearing in a below-the-knee walking plaster are essential for a good end result of fracture-dislocations of the ankle joint.
在一项对321例连续的踝关节脱位骨折病例的前瞻性研究中，根据AO（ASIF）原则进行手术治疗，术后对306例（95%）患者进行了两到六年的随访。感染率为1.8%，无化脓性关节炎。临床结果为“优和良”的占82%，“可接受”的占8%，“差”的占10%。创伤后关节炎发生率为14%，在中年女性中更为常见。关节炎程度与临床结果之间存在很强的相关性。计算机分析（AID）显示，影响临床结果的最决定性因素是骨折类型、复位准确性和患者性别。精确复位、坚强内固定、术后早期关节活动以及随后在膝下行走石膏固定下完全负重对于踝关节骨折脱位的良好最终结果至关重要。
