Starke W, Forstmann A, Schilling H
Aktuelle Traumatol. 1979 Oct;9(5):283-7.
Operative treatment of luxation fractures of the ankle joint has caused a drop in poor late results, to one-quarter of the total number of patients compared with about one-half with the conservative procedure. Part of the unsatisfactory results is caused by ossifications in region of the interosseous membrane and tibiofibular syndesmoses. The incidence of such ossifications within a closed series of 200 own operatively treated cases was examined and pathogenetic factors were discussed. Further improvement of the treatment results of ankle joint fractures appears possible via subtle operation technique and omission of routine application of fixation screws for safeguarding lesions of the syndesmoses.
踝关节脱位骨折的手术治疗已使晚期不良结果的比例下降，与保守治疗约一半的患者相比，手术治疗患者的这一比例降至总数的四分之一。部分不尽人意的结果是由骨间膜和胫腓联合区域的骨化引起的。我们检查了200例自行手术治疗的闭合病例系列中此类骨化的发生率，并讨论了发病因素。通过精细的手术技术以及避免常规应用固定螺钉来保护胫腓联合损伤，踝关节骨折的治疗效果似乎有可能得到进一步改善。
