Jacobsen S, Honnens de Lichtenberg M, Jensen C M, Tørholm C
Department of Orthopaedics, University of Copenhagen, Gentofte Hospital, Hellerup, Denmark.
Foot Ankle Int. 1994 Apr;15(4):170-1. doi: 10.1177/107110079401500402.
To estimate the effect of removal of internal fixation after treatment of malleolar fractures on postoperatively presented complaints, we retrospectively evaluated 66 patients by their records and by personal questionnaires. Of all the patients, 89.4% had one or more complaints. These were typically soreness over implant and cicatrix, reduced movement of the ankle joint, and strain-related pain. About 75% of these patients reported improvement after removal. The AO mode of fixation, i.e., typically by lateral semitubular plating and transsyndesmotic screw and a medial screw or pins, and the Wiberg-Cedell mode, i.e., typically consisting of lateral single or double cerclage and staple and medial pinning, constituted the principal groupings of the patients. The two groups were comparable. In this series, we found significantly more complaints associated with the AO mode in the postoperative period. We conclude that removal of internal fixation after malleolar fractures is indicated when common types of complaints are presented.
为评估踝关节骨折治疗后取出内固定对术后出现的不适症状的影响，我们通过病历记录和个人问卷调查对66例患者进行了回顾性评估。所有患者中，89.4%有一项或多项不适症状。这些症状通常包括植入物和瘢痕处酸痛、踝关节活动度降低以及与劳损相关的疼痛。约75%的患者在取出内固定后症状有所改善。AO固定方式，即通常采用外侧半管状钢板、经下胫腓联合螺钉及内侧螺钉或克氏针，以及Wiberg-Cedell固定方式，即通常包括外侧单环或双环扎带及骑缝钉和内侧穿针，构成了患者的主要分组。两组具有可比性。在本系列研究中，我们发现术后与AO固定方式相关的不适症状明显更多。我们得出结论，当出现常见类型的不适症状时，踝关节骨折后取出内固定是必要的。
