Evaluation of Long-term Results after Surgical Treatment of Supination-external Rotation(SER) Type Ⅳ Ankle Injuries
Shen Chao
Fu Yuelong
Wang Xiuhui
Abstract：Objective To evaluate long-term results after surgical treatment of supination-external rotation(SER)Type Ⅳankle injuries. Methods 65 patients with SER Type Ⅳ ankle injuries who underwent operative treatment between August 2012 and July 2014 were included and followed-up. Among them,28 were male and 37 were female. Age ranged from 18 to 71 years,with an average age of 47. 4. According to Danis-Weber,there were 8 cases of type A,39 cases of B and 8 cases of type C. Foot function was assessed based on the American orthopaedic foot and ankle society(AOFAS)ankle and foot scoring crite-ria. Results The mean follow-up time was 16 months with a range of 7 to 30 months. The recovery time of fracture varied from 12 to 16 weeks,with an average of 12. 8 weeks. The average function and effectiveness score was 90. 6 with 34 graded as excel-lent(90 ~ 90),24 good(80 ~ 89),7mediocre(70 ~ 79),and 0 poor. 89. 2% of patients achieved good functional recovery. Conclusion SER Type Ⅳ ankle injuries is unstable ankle fracture. With appropriate reconstructive surgery to repair and fix damaged structure,a relative stable ankle can be expected. Generally deltoid ligament repair is unnecessary and syndesmosis screws is very rare.
Keywords：anklefracturesupination-external rotationsurgicaltreatment
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 596-599 )