手术治疗涉及后踝的踝关节骨折

目的 探讨涉及后踝的踝关节骨折的手术方法及临床疗效.方法手术治疗36例涉及后踝骨折的踝关节骨折患者.结果 36例均获随访,时间12～21个月.骨折愈合时间10～16周.根据美国足与踝关节协会（AOFAS）评分：优19例,良13例,可4例,优良率为88.9%.结论 根据骨折类型选择手术方式和固定方法,切开复位内固定治疗涉及后踝的踝关节骨折,可保证踝关节获得解剖复位,最大限度地恢复踝关节功能.

Surgical treatment for posterior malleolus fracture of ankle joint

Objective To explore surgical techniques and the clinical effectiveness of operative treatment for posterior malleolus fracture of ankle joint. Methods 36 patients with posterior malleolus fractures were treated with operative treatment. Results Thirty-six patients were followed up for 12 -21 months. All fractures healed after 10 to 16 weeks. According to American Orthopaedic Foot and Ankle Society （ AOFAS）, the results of ankle and hindfoot score were excellent in 19 cases, good in 13, and fair in 4 with an excellent and good rate of 88.9%. Conclusions According to different types of posterior malleolus fractures of ankle joint, the best treatment and fixation methods will be chosen. The open reduction and internal fixation can ensure anatomic joint restoration and union for the posterior malleolus fractures of ankle joint, and achieve most satisfied kinematics function of the ankle joint.