Surgical Treatment of Supine-external Rotation Ankle Fractures with Complete Rupture of the Del-toid Ligament
Abstract：Objective To investigate the surgical procedure and clinical outcome of treatment for supine-external rotation ankle fractures associated with completer rupture of the deltoid ligament. Methods We treated 30 cases of supine-external ro-tation ankle fracture associated with complete rupture of the deltoid ligament rupture. Reduction and fixation of the fracture and repair of the ruptured ligament were conducted simultaneously for all patients. American Orthopaedic Foot and Ankle Society (AOFAS)ankle-hindfoot scores and visual analogue scale(VAS)were used for outcome measurement. Results Thirty pa-tients were followed up for 12 to 18 months,with an average of 13. 5 months. The time for bone union was 12. 8weeks(range,10 to 16 weeks). The AOFAS ankle-hindfoot score at the last follow-up was 94. 6 points(range,84 to 99 points). The VAS score was 1. 3 points(range,0 to 6 points). There was no ankle instability. Conclusion To achieve satisfactory outcomes for pa-tients with supine-external rotation ankle fractures associated with complete rupture of the dehoid ligament,a proper surgical procedure should be chosen according to reasonable preop-erative evaluation and a proper suture technique according to the rupture site of the deltoid ligament.
Keywords：ankle jointfractures fixationsuture techniquesdeltoid ligament
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：3( 699-701 )