经内踝截骨入路空心加压螺纹钉固定治疗复杂距骨颈骨折

目的：探讨经内踝截骨入路空心加压螺纹钉固定治疗复杂距骨颈骨折的临床效果。方法：复杂距骨颈骨折12例,男7例,女5例;年龄20～56岁,平均38岁。其中HawkinsⅡ型8例,Ⅲ型4例。应用AO空心加压螺纹钉治疗,均采用经内踝截骨入路。结果：所有患者随访1年～6年8个月,平均4年5个月,全部骨折均临床愈合。依据Hawkins评分结果：优5例,良5例,可1例,差1例。结论：经内踝截骨入路空心加压螺纹钉固定是治疗复杂距骨颈骨折的有效方法之一。

Treatment of fractures of the talar neck with hollow compression screw via inner malleolus approach

Objective： To explore clinical effect of treatment of fractures of the talar neck with hollow compression screw via inner malleolus tomy approach. Methods： Twelve patients with fractures of the talar neck included 7 males and 5 females with a mean age of 38 years （reaging from 20 to 56 years）. According to the Hawkins classification,8 cases were type Ⅱand 4 cases were type Ⅲ. Twelve patients were treated with hollow compression screw via inner malleolus tomy approach. Results： All the patients were followed up for 1 year to 6 years and 8 months（average 4 years and 5 months） ,all the fractures were bony union. The mean Hawkins score was excellent in 5 cases, good in 5 cases, fair in 1 case and poor in 1 case. Concluslon：It is a good method to treat the fractures of the talar neck with hollow compression screw via inner malleolus tomy approach.