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踝关节骨折的劳格·汉森分类法。

The Lauge Hansen classification of malleolar fractures.

作者信息

Yde J

出版信息

Acta Orthop Scand. 1980 Feb;51(1):181-92. doi: 10.3109/17453678008990784.

DOI:10.3109/17453678008990784
PMID:7376839
Abstract

A total of 488 fractures of the ankle are described and classified into types and stages according to Lauge Hansen (1942). The classification was partly based on operative findings. The type division was: supination-eversion fractures 57.4 per cent, supination fractures 20.1 per cent, pronation and pronation-eversion fractures 20.1 per cent and pronation-dorsiflexion fractures 0.4 per cent. A small percentage of the fractures (1.2) could not be fitted into this system, and two-thirds of these were found to have an isolated fracture of the posterior tibial margin. This fracture seems to be a special type of ankle fracture. It was found that the stage 2 injury in pronation and pronation-eversion fractures is not fully explained by Lauge Hansen. The classification of Lauge Hansen gives a very exact description of ankle fractures. This is very important for the operative treatment and also indispensable for the evaluation of the results of various methods of treatment.

摘要

本文描述了488例踝关节骨折,并根据劳格·汉森(1942年)的方法对其进行了分型和分期。该分类部分基于手术所见。分型如下:旋后-外旋型骨折占57.4%,旋后型骨折占20.1%,旋前和旋前-外旋型骨折占20.1%,旋前-背屈型骨折占0.4%。一小部分骨折(1.2%)无法归入该系统,其中三分之二被发现为单纯的胫骨后缘骨折。这种骨折似乎是一种特殊类型的踝关节骨折。研究发现,劳格·汉森分型中旋前和旋前-外旋型骨折的Ⅱ期损伤情况未得到充分解释。劳格·汉森分类对踝关节骨折给出了非常精确的描述。这对手术治疗非常重要,也是评估各种治疗方法效果不可或缺的。

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