CAJ | 학술논문

目的：探讨经后外侧入路手术方式对外踝及后踝骨折的疗效及安全性。方法选取51例外踝及后踝骨折患者，由后外侧入路作为主要暴露途径，以T型钢板固定术式进行治疗。随访AOFAS （美国足踝外科学会）问卷调查评分对患者的整体恢复情况进行评价。结果51例患者AOFAS问卷调查评分为75～97分，平均（90．5±8．2）分，其中，优14例，良33例，一般4例。术后未见内固定脱落、未见明显愈合不良及骨不连等并发症发生。结论经后外侧入路对外踝及后踝骨折进行治疗和复位的疗效和安全性较好，值得临床推广应用。
목적：탐토경후외측입로수술방식대외과급후과골절적료효급안전성。방법선취51예외과급후과골절환자，유후외측입로작위주요폭로도경，이T형강판고정술식진행치료。수방AOFAS （미국족과외과학회）문권조사평분대환자적정체회복정황진행평개。결과51례환자AOFAS문권조사평분위75～97분，평균（90．5±8．2）분，기중，우14례，량33례，일반4례。술후미견내고정탈락、미견명현유합불량급골불련등병발증발생。결론경후외측입로대외과급후과골절진행치료화복위적료효화안전성교호，치득림상추엄응용。
Objective To investigate the efficacy and safety of the posterolateral approach on lateral and posterior malleolus ankle fractures.Methods 51 cases of patients with lateral and posterior malleolus ankle fracture were chosen for the study.The posterolat-eral approach was adopted as the main exposure pathway and all were treated by fixation with T-type plate.The follow-up AOFAS questionnaire scores were analyzed and the overall recovery of patients was evaluated.Results 51 patients scored ranging from 75 to 97 in the AOFAS questionnaire survey.The average was (90.5±8.2), with 14 cases to be excellent, 33 cases good, 4 cases general. After the operation, no internal fixation fell off, with no obvious bone nonunion and other complications.Conclusion The curative effect of posterolateral approach for patients with lateral and posterior malleolus ankel fracture is sound and with high safety, which is worthy of clinical application.