Conservative treatment of isolated fractures of the medial malleolus
Conservative treatment of isolated fractures of the medial malleolus
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DOI：
10.1302/0301-620x.89b1.18349
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发表时间：
2007-01-01
影响因子：
--
通讯作者：
Infante, A.
中科院分区：
文献类型：
--
作者：
Herscovici, D., Jr.;Scaduto, J. M.;Infante, A.
1992年至2000年，57例患者的57个孤立的内踝骨折保守治疗固定在一个石膏。结果：57例骨折中，55例经治疗后愈合。平均联合背屈和跖屈为52.3（25 - 82），平均短型36分，美国矫形足踝协会评分分别为48.1（28 - 60）和89.8（69 - 100）。在回顾中，没有证据表明有内侧不稳定，皮肤病并发症，错位的榫眼或创伤后关节炎。孤立的内踝骨折可以获得较高的愈合率和良好的功能结果与保守治疗。手术应保留给双踝或三踝骨折、开放性骨折、皮肤损伤或涉及足板的损伤或出现疼痛性骨不连的患者。
Between 1992 and 2000, 57 patients with 57 isolated fractures of the medial malleolus were treated conservatively by immobilisation in a cast. The results were assessed by examination, radiography and completion of the short form-36 questionnaire and American Orthopaedic Foot and Ankle Society ankle-hindfoot score.Of the 57 fractures 55 healed without further treatment. The mean combined dorsi- and plantar flexion was 52.3 (25 to 82) and the mean short form- 36 and American Orthopaedic Foot and Ankle Society scores 48.1 (28 to 60) and 89.8 (69 to 100), respectively. At review there was no evidence of medial instability, dermatological complications, malalignment of the mortise or of post-traumatic arthritis.Isolated fractures of the medial malleolus can obtain high rates of union and good functional results with conservative treatment. Operation should be reserved for bi- or trimalleolar fractures, open fractures, injuries which compromise the skin or those involving the plafond or for patients who develop painful nonunion.