应用Lauge-Hansen分型手术治疗踝关节骨折

目的探讨应用Lauge-Hansen分型手术治疗踝关节骨折的临床疗效。方法对30例踝关节骨折患者按Lauge-Hansen分型行手术治疗。术中按分型的损伤机制进行复位,根据骨折特征选择合适内固定。对踝关节术后疗效使用Baird-Jackson评分标准评价。结果术后X线片显示骨折复位良好,踝穴形态恢复正常,内固定位置满意。患者均获得随访,时间3~46个月。按踝关节Baird-Jackson评分标准评价:优20例,良7例,可2例,差1例,优良率90%。结论应用Lauge-Hansen分型手术治疗踝关节骨折,可指导术中骨折复位,选择合适内固定,判断下胫腓联合损伤情况,提高手术疗效。

Application of Lauge-Hansen classification for surgical treatment of ankle fractures

Objective To evaluate the clinical efficacy of surgical treatment of ankle fracture by Lauge -Hansen classi-fication.Methods Thirty cases of ankle fractures underwent surgical treatment according to Lauge -Hansen classifi-cation.Intraoperative reduction according to fractural mechanism of damage , the internal fixation was selected accord-ing to the fracture characteristic .The ankle postoperative curative effect was evaluated by Baird-Jackson criteria .Re-sults The postoperative X-ray film showed good fracture reduction , the ankle mortise shape was recoved to normal , internal fixation position satisfaction .All patients were followed up for 3~46 months.According to ankle Baird-Jack-son score criteria, the result was excellent in 20 cases, good in 7, fair in 2, and poor in 1, with the excellent-good rate of 90%.Conclusions Surgical treatment of ankle fracture by Lauge-Hansen classification can guide fracture re-duction of operation , select the appropriate internal fixation , judge the joint injury of the lower tibia and fibula , and improve surgery efficacy .