Treatment of the malleolar fractures of the ankle.
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Seventy-three patients with malleolar fractures of the ankle were treated during 1983-1988. Fractures were classified into SA type (17.8%), SER type (38.4%), PER type (9.6%), PA type (24.6%), and PD type (9.6%) as defined by Lauge-Hansen.The ankles were assessed in terms of relationship between radiographical and clinical results. The clinical result was evaluated by questionaire and "excellent" answers were obtained in 75.4%, especially in the SA and PA type of Lauge-Hansen classification. The radiographical result of reduction was evaluated by Burwell's criteria and talocrural angle. An anatomical reduction was obtained in 71.2%. The ratio of Talo-Tibial (TT)/medial clear space (MCS) of the final radiography was found to be decreased in "poor" cases and those with developed osteoarthritis.The end-result was found to correlate with anatomical reduction and TT/MCS, but not with the talocrural angle.
- 西日本整形・災害外科学会の論文
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