Jacquemaire B, Babin S, Katzner M, Steinmetz A, Schvingt E
J Chir (Paris). 1978 May;115(5):289-96.
The authors analyse a series of 70 bimalleolar fractures treated surgically with a follow up of 3 to 8 years. The late functional and radiological result was favourable in 85.7% of cases. They were able to determine from this series a certain number of unfavourable factors on which surgery has a better influence than immobilisation: e.g. fractures with a large displacement, impaction of the roof of the mortar, open fractures. Complications were rare; in 50% they were the result of technical errors avoidable with experience. The indications are noted; the authors consider that certain fracture should be operated straight away, that others should not be operated on, and that finally, an intermediate group should first be treated by immobilisation.
作者分析了70例接受手术治疗的双踝骨折病例，随访时间为3至8年。85.7%的病例后期功能和影像学结果良好。他们从该系列病例中确定了一些不利因素，手术对这些因素的影响比固定更好：例如，移位较大的骨折、臼顶嵌插、开放性骨折。并发症很少见；50%的并发症是可通过经验避免的技术失误导致的。文中指出了手术适应症；作者认为，某些骨折应立即手术，另一些则不应手术，最后，中间组应首先采用固定治疗。
