The treatment of malleolar fractures of the ankle joint.

概要

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This fracture is variously classified, whereas, the therapeutic problems can be summarized in the following 3 items.1. In terms of medial versus lateral malleolus, which should be considered to be more important?2. Counter measures against severe damage of articular surface like trimalleolar fracture.3. Cases possiblely resulting in osteoarthrosis of the ankle in future as predicted from an early stage.The purpose of this study is to devise therapeutic means fully considering the problematic points of injury of malleolus.The above cases were treated based on the following ideas.1. For malleolar fracture, priority was given to the lateral malleolus rather than the medial malleolus, and the lateral malleolar fracture should be made reduction and fixation certain.2. For the case possiblely causing severe contracture of the ankle joint after reduction of severe damage of malleolar site and trimalleolar fracture, calcaneus pin traction should be added.
西日本整形・災害外科学会の論文