Types of the malleolar fractures of the ankle. the radiological and subjective evaluation of reduction.

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Ninety patients with ankle fractures were surgically treated during 1977-1985. It is difficult to find strict relationship between Lauge-Hansen's classification of the types of fracture and methods of internal fixation. Weber's one is simpler and more suitable for surgery. Fibular fractures should be correctly reduced and rigidly fixed. In present series Weber's type A fracture was treated by 'Zuggurtung' method in all cases. Type B fractures were treated by 'Zuggurtung' method, plating or screwing according to the line of the fracture and comminution of fragments. Type C fractures were commonly treated with a short plate.An anatomical reduction was obtained in 83.3%. Patients' contentment was evaluated by questionaire; "good" answers were obtained in 57/66 (86.4%).The end-result was found to correlate with the anatomical reduction and rigid fixation, but not with the type of fracture.
西日本整形・災害外科学会の論文