Kleczkowski T, Szymczyk Z
Oddziału Urazowo-Ortopedycznego Wojewódzkiego Szpitala Specjalistycznego im. Stefana Kardynała Wyszyńskiego w Lublinie.
Chir Narzadow Ruchu Ortop Pol. 1997;62(6):539-43.
The results of surgical treatment of 16 patients (9 females, 7 males) for ankle fracture/subluxation have been presented. Tibio-fibular syndesmosis was reconstructed and the fibula was fixed with an appropriately bent metal plate and screws. Medial malleolus was fixed with a screw or Kirschner wires. Advantages of stable ankle fixation have been discussed. Lateral malleolus fixation facilitates reduction and fixation of the medial one. External immobilization has been abandoned in some patients. The early results of such a treatment are favourable.
本文报告了16例踝关节骨折/半脱位患者(9例女性,7例男性)的手术治疗结果。重建胫腓下联合,并用适当弯曲的金属板和螺钉固定腓骨。内踝用螺钉或克氏针固定。讨论了稳定踝关节固定的优点。外踝固定有助于内踝的复位和固定。部分患者已放弃外固定。这种治疗的早期效果良好。