CAJ | 학술논문

and internal fixation between May 2008 and September 2011. There were 28 males and 15 females with an average age of 35.3 years (range, 18-64 years). The operation was performed through anteromedial approach in 26 cases and through anterolateral approach in 17 cases. Surgi-cal timing, fracture healing time, Burwell-Charnley radiological score and Tornetta function scores of ankle joint were com-pared between two approaches. Results:There were no significant differences in surgical timing, fracture healing time, Burwell-Charnley radiological score, or Tornetta function scores of ankle joint between two appro关节骨折，由于其骨折的特殊性，易致误诊及漏诊。手术治疗可恢复下胫腓关节的正常解剖关系以及踝穴的匹配，对预后起决定作用。
and internal fixation between May 2008 and September 2011. There were 28 males and 15 females with an average age of 35.3 years (range, 18-64 years). The operation was performed through anteromedial approach in 26 cases and through anterolateral approach in 17 cases. Surgi-cal timing, fracture healing time, Burwell-Charnley radiological score and Tornetta function scores of ankle joint were com-pared between two approaches. Results:There were no significant differences in surgical timing, fracture healing time, Burwell-Charnley radiological score, or Tornetta function scores of ankle joint between two appro관절골절，유우기골절적특수성，역치오진급루진。수술치료가회복하경비관절적정상해부관계이급과혈적필배，대예후기결정작용。
Background:The Maisonneuve fracture is rare in clinic, and improper management can lead to instability in the ankle. Objective:To explore the injury mechanism, diagnosis and treatment of Maisonneuve fracture. Methods: A retrospective analysis was done in 19 patients who suffered from Maisonneuve fracture and were treated be-tween August 2009 and October 2012. There were 15 males and 4 females with a mean age of 42.2 years (range, 30-68 years). According to Lauge-Hansen classification, there were 5 cases with gradeⅡpronate-extorsion injury, 6 with gradeⅢpronate-extorsion injury and 8 with gradeⅣpronate-extorsion injury.All fractures were fixed with 2 cortical positioning screws. All screws engaged 3 cortices above the ankle joint and parallel to the tibial plafond. AOFAS score was used to eval-uate ankle joint function during follow up. Results:All the patients were followed up for 50 months on average (range, 6-65 months). Bony union was achieved in all fractures. The mean AOFAS score was 94.7 (range, 75-97) at the last follow-up. There were 15 patients with excellent out-come and 4 with good results. Conclusions:The Maisonneuve fracture is an unstable fracture that can be easily overlooked in the evaluation of the injured ankle. A mortise in anatomic alignment is the aim of operation.