Surgical Treatment Of Supination External Rotation Ankle Fractures Ⅳ° Clinical Evaluation

Objective: Analysis of supination external rotation ankle fractures methods to improve the cure rate of ankle fracturesMethods: The cases are from Shandong Medical University Hospital orthopedic ward from May 2008 to June 2010 47 cases were treated supination external rotation ankle fractures in patientsⅣ°. Aged 20 to 76 years, mean 45.21±1.48 years old, 28 males and 19 females, which accounted for 23 cases of traffic accident injuries, slip down the stairs or walking sprain in 13 cases, 9 cases of injury falling from height, weight 2 injured cases. Closed fractures in 39 patients. Preoperative clinical and radiological assessment to determine the timing of surgery; for surgical treatment, surgery should be noted that the choice of incision, soft tissue protection, the choice of a fixed way; after the guidance system in patients with functional rehabilitation training, to reduce concurrent traumatic The incidence of arthritis. Patients followed up for up to 2 years, a minimum of six months, by the United States AOFAS Foot and Ankle Society Ankle Surgery - foot after scoring system (The Ankle-hindfoot Sorce) to evaluate the effects were observed.Results: 47 cases were excellent in 28 cases, good in 12 cases, the general 6 and poor in 1 case, the fine was 85.1%.Conclusion: For supination external rotation ankle fracturesⅣ°Early surgical treatment should be as much as possible so that anatomical reduction and internal fixation, preoperative combined to fully assess the fracture and damage, a reasonable choice of surgery and fixation; combined damage in the and treatment of fractures is also important; functional training on early postoperative joint function and reduce the concurrent incidence of traumatic arthritis.