Van Laarhoven C J, Oostvogel H J, van der Werken C
Academisch Ziekenhuis, afd, Heelkunde, Utrecht.
Ned Tijdschr Geneeskd. 1996 Nov 23;140(47):2342-9.
Evaluation of the long-term results of protocol treatment of adult patients with ankle fractures.
St Elisabeth Hospital, Tilburg, the Netherlands.
Retrospective long-term follow-up study.
All patients (n = 579) with an ankle fracture (580 fractures) in the period 1985-1989, who had not died soon after the injury and in whom the morbidity was not caused mainly by other conditions (n = 30) were treated according to a protocol which specified the indications for conservative or surgical therapy depending on the particular fracture type. After a median follow-up period of 5 years (range: 2.25-8.17 years) the treatment results could be evaluated in 92% of the patients.
Clinically "good' or "excellent' results ranging from 79-90.5% types A, B and C fractures (according to the Swiss Arbeitsgemeinschaft für Osteosynthesefragen) were achieved.
A broad indication for conservative, even functional (tape bandaging) treatment and restricted use of implants during osteosynthesis appear justified considering the results obtained.
评估成年踝关节骨折患者按方案治疗的长期效果。
荷兰蒂尔堡圣伊丽莎白医院。
回顾性长期随访研究。
1985年至1989年期间所有踝关节骨折患者（n = 579，共580处骨折），那些受伤后未很快死亡且发病率并非主要由其他疾病导致的患者（n = 30），按照一个方案进行治疗，该方案根据具体骨折类型明确了保守治疗或手术治疗的指征。中位随访期为5年（范围：2.25至8.17年），92%的患者可评估治疗结果。
A、B、C型骨折（根据瑞士内固定研究协会分类）获得了79%至90.5%的临床“良好”或“优秀”结果。
鉴于所获结果，保守治疗甚至功能治疗（弹力绷带包扎）的广泛指征以及骨合成过程中植入物的有限使用似乎是合理的。
