Clinical effect of posterior lateral access plate internal fixation in treatment of ankle fractures
LI Ming-xi
Abstract：Objective To observe the clinical effect of posterior lateral access plate internal fixation in treatment of posterior malleolar fractures. Methods 36 patients with posterior malleolus fractures from March 2015 to March 2017 in our hospital were selected. All the patients received posterior lateral access plate fixation for treatment. The clinical efficacy,adverse events and other related indicators were observed. Results The average operative time was (80. 10 ± 20. 07) min and the average intraoperative blood loss was (119. 60 ± 80. 06) ml. After operation, all the fractures healed and the average healing time was (89. 10 ± 10. 62) d. The excellent rate of ankle function was 88. 89％. Ankle function was excellent in 22 cases,good in 10 cases,fair in 4 cases and poor in 0 case. During the follow-up period,2 cases(5. 56％) had incision infection,1 case(2. 78％) had delayed union of fractures and adverse events such as loosening of the internal fixation,skin necrosis at the edge of the incision and displacement of the fractures. Conclusion For the patients with posterior malleolus fractures,posterior lateral access plate fixation has a certain clinical effect. It can effectively improve the patients' ankle function,and reduce the adverse events such as postoperative wound infection and the safety of the operation is relatively high.
Keywords：Plate internal fixationPosterior lateral approachPosterior malleolus fractureClinical effect
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 472-475 )