Ankle Injury Lauge Hansen (LH) Clinical Classification And Treatment Of Clinical Pathway Analysis

Objective: Analysis of the mechanism and points ankle injury type, and in accordancewith Lauge Hansen (LH) each type give corresponding technique respectively reset andsplint or gesso external fixation, open reduction and internal fixation, ankle fractures eachmodel in order to observe the clinical efficacy of treatment.Methods: Collection of40cases of ankle injury cases,21cases of men and women19cases, with an average age of57.6years (22a78years old). Kofoed ratings wereretrospectively analyzed according to the standard Lauge Hansen (L H) each typegive corresponding technique respectively reset and splint or gesso external fixation, andinternal fixation (orif curative effect. Postoperative outcome measures:85-100divided intooptimal;75-85points good;70-74divided into pass; Less than70divided into poor.Excellent, good, pass the sum, difference percentage for satisfaction rate.Results: All40patients had the follow-up. The Kofoed evaluation criterion, surgicaltreatment group and closed the curative effect of treatment group was obvious, surgicaltreatment group satisfaction rate90%, closed reduction group90%satisfaction,(P>0.05).Two groups of curative effect in the statistical no difference on the topic in the ankle injurythat treatment, closed reduction group and surgical treatment group is effective treatment,clinical curative effect is distinct.Conclusions: Ankle injury indications: According to the ankle injury to the stabilityof the ankle structural damage the lighter SA I degree; SE I degree, â…¡ degrees, PA, PE I,â…¡ degree damage to conservative treatment, non-operative therapy, gimmick resetsuccess, the damage mechanism for inverse as early as possible the reset splint or theplaster fixed, swelling to check after X-ray, replace the plaster, six weeks to gesso line function practice. For damage degree is heavy, and shift larger I, â…¡ degree damage, jointstability of poor patients in the soft tissue allows and no operation contraindication diseaseconditions early surgical treatment to claim, the main measures are taken WaiHuai inanatomical repositioning and firmly method. For the unstable fractures; â…¢, â…£ degreespin outside of fractures after spin or obvious swing shift in front of the fracture, the tacticsand fixed position to maintain the reset are more difficult, should be given surgery.