论文部分内容阅读
To investigate the therapeutic effect of supramalleolar osteotomy for malunion of the ankle joint. Methods 15 patients being admitted to our hospital from September, 2005 to octomber,2008, who had suffering from malunions on the ankle jiont, were treated with this operation. 13 patients of them obtained full informations, 11 had got the open wedge-shaped osteotomy and the other 11 of which had treated with the lengthening osteotomy of the fibula. In detail, of the 12 patients, 10 had been corrected the varus deformity of the ankle immediately during the operation, 3 cases also got the releaseing of tarsal tunnel at the same time. Besides this operation, while the other 2 cases which had a severe varus deformity, were also treated with the Ilizarov correct the malformation slowly. The function of the ankles were assemented by the AOFAS scoring system. Results During a mean 27.3 (12 months to 48 months) months following-up, all the fracture were healed, the mean time was 14.5 weeks(11-17 weeks),and the mean time of totally weight-bearing was 14.1weeks(1-19weeks). The mean score of the ankle function 12 months after the operation was 86.5, in which , there was 8 excellent, 3 good, 2 mild, and the ratio of good outcomes was 84.6%. After the operation, all the patients were healed by expectant treatment, while anaesthesia on the inter side of the foot happened to 1 patients,symptom disappoint after 1 week. None of them had no complications with failure of the internal fixation. Conclusion Supramalleolar osteotomy could come to a good outcome for the malunions of the ankle joint.