Leach W J, Fordyce M J
Department of Orthopaedic Surgery, Royal Cornwall Hospital, Truro, UK.
J R Coll Surg Edinb. 1994 Apr;39(2):124-7.
To assess the results of operative treatment of ankle fractures in the elderly, we have reviewed the results of ankle fracture fixation in 76 patients aged over 50 years. This was carried out with special reference to the early complications. Our series had a 1.8% incidence of infection and a 5.2% incidence of delayed healing and wound necrosis. Malunion occurred in 7.9% of patients, and was due in all cases to either imperfect peroperative reduction or inadequate fixation. In no case did fixation fail because of poor bone quality. We conclude that internal fixation of ankle fractures in the elderly carries acceptable risks, so long as careful attention is paid to surgical technique, and fixation is in accordance with AO/ASIF principles.
为评估老年踝关节骨折的手术治疗效果，我们回顾了76例年龄超过50岁的踝关节骨折内固定治疗结果。此项回顾特别关注早期并发症。我们的病例系列中感染发生率为1.8%，延迟愈合和伤口坏死发生率为5.2%。7.9%的患者发生畸形愈合，所有病例均因术中复位不完善或固定不充分所致。无一例因骨质质量差导致内固定失败。我们得出结论，只要仔细关注手术技术，并按照AO/ASIF原则进行固定，老年踝关节骨折的内固定具有可接受的风险。
