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| Citation of this paper:.[J].Chinese Journal of Clinical Medicine,2017,24(2):281-285 |
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| Abstract:Objective：To analyze and compare the clinical efficacy of 1/3 tubular plate and cannulated lag screws in the treatment of posterior malleolar fractures of the ankle. 〗Methods：From January 2014 to January 2016, 56 patients with posterior malleolar fractures of the ankle were selected and divided into two groups: 1/3 tubular plate group with 35 cases (observation group ) and cannulated lag screws group with 21 cases (control group), and the radiographic effects, ankle function scores, complication rates of the patients were compared and analyzed. 〗Results：All the patients were followed up 11 to 18 months with an average of 14.5 months. Incision infection occurred in three patients(two cases of observation group, one case of control group). Cannulated lag screw loosening occurred in one case of control group. Walking for a long time with the sense of ankle pain occurred in six patients(one case of observation group, five cases of control group). All the fractures were healed within 3-6 months (averaged 4.5 months). In the radiographic effects, ankle function scores, late complication rates of observation group were better than the control group. The difference of two groups was statistically significant (P<0.05). Conclusions：1/3 tubular plate applied in patients with posterior malleolar fractures had clinical advantage over cannulated lag screws, and it can improve the radiographic efficacy and ankle joint function, and with high level of safety. |
| keywords:1/3 tubular plate cannulated lag screws posterior malleolar fractures surgical results |
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