三踝骨折的内固定治疗

目的 探讨切开复位内固定治疗三踝骨折的疗效.方法对48例三踝骨折患者依外踝-后踝-内踝的顺序切开复位,采用1/3管形钢板或远端解剖型钢板内固定治疗.结果 患者均获随访,时间6～24个月.按照美国足踝外科学会（AOFASO）评定标准：优29,良11例,可6例,差2例,优良率为83.3%.结论 切开复位内固定治疗三踝骨折可以恢复踝关节的正常解剖结构,重建踝关节的稳定性,临床疗效满意.

The internal fixation of three-ankle fracture

Objective To study the effect of internal fixation in treating three-ankle fracture. Methods 48 cases of three-ankle fractures were treated with 1/3 tubular plate or distal anatomical plate for open reduction and internal fixation, according to the order of the lateral malleolus-after ankle-medial malleolus. Results All patients were followed up for 6 -24 months. According to AOFASO scoring criteria： excellent in 29 cases, good in 11, fair in 6, and poor in 2, and 83.3% of patients were scored as good or excellent. Conclusions Open reduction and internal fixation for three-ankle fractures can restore the normal structure of the ankle, reconstruct the stability of the ankle, and the clinical efficacy is satisfactory.