Special Type The Ankle Fractures (36Cases) Surgery Analysis

Objective: to study the special types of trauma mechanism ankle fractures, fracturecharacteristics and surgical order, improve the cure rate ankle fracturesMethods: hospital in shandong province in April2009to October2011line wereinternal fixation (orif) special type the ankle fractures of patients with36cases, age18to50years old, wounded, reason for skateboarding injury, playing basketball damage, injuryand car accident injury fall, skateboard damage9cases, playing basketball injury in13,falling injury in8cases,6cases of car accident injury. All for the high-energy injuries. Themale26cases, female10cases. Preoperative X-ray analysis and routine inspection,eliminate taboo, determine the operation time, for surgery. Pay attention to the choice ofintraoperative incision, fracture restoration of the sequence. And will be30patients intotwo groups with different operation order operation. Postoperative patients with thefunction of the guidance of regulating exercise, reduce the incidence of complications.30patients with follow-up after, follow-up time the shortest six months, the longest15months, according to Mazur ankle evaluation classification rating system, observe thecurative effect.Results:30patients, A group of15cases, the optimal11cases "good" in3, can be in1, was93.33%. Group B in15cases, optimal4cases "good" in8cases, can be in3, was80.00%.Conclusion: for special type the ankle fractures should be early surgical treatment,preoperative fully understand the fractures and dislocations, and choose a more reasonableorder surgery, as far as possible fracture anatomy registration, early postoperativereasonable exercise the function of the system. Such already can shorten the timing of theoperation, reduce the difficulty of the reset, also can improve the treatment rate, reduce thetraumatic arthritis and the incidence of complications.