足関節両果骨折の治療方法

抄録

Bimalleolar fractures of the ankle may cause a marked disturbance in daily life if local instability, pain and motor disturbance occur after treatment. We have treated this disease according to the following therapeutic plan. 1. The ankle is immobilized in cope with its local instability with importance attached to anatomical reduction, particularly accurate reduction of the lateral malleolus. 2. For the prevention of local contracture, traction of the calcaneus is positively carried out prior to reduction and immobilization.
We recently treated 26 cases of bimalleolar fractures of the ankle (26 joints) according to the above-mentioned therapeutic Slan at our department and reviewed the results. The mean age of the patients was 48.6 years and the mean duration of follow-up was 3 years and 3 months.
The results were poor in many of the patients in whom reduction of the lateral malleolus was inadequate, whereas the prognosis was favorable in patients in whom the lateral malleolus was accurately reduced and immobilized. Traction of the calcaneous appeared to be useful for the prevention of contracture.