Add cross needle thread tension band fixation of medial malleolus fracture.docVIP

 PAGE \* MERGEFORMAT 5 Add cross needle thread tension band fixation of medial malleolus fracture [Abstract] malleolus fracture in 45 cases of simple tension with a silk thread used for cross Kirschner wire fixation, fracture healing and postoperative function in the ankle joint. The patients were followed up 40 cases, efficacy excellent in 30 cases, good in 8 cases, 1 case 1 poor, good rate of 95%. [Keywords:] medial malleolus fracture, silk, ankle, fixation We have since 1995 to 2000, using Canadian cross-needle thread tension band fixation of medial malleolus fracture in 45 cases, satisfactory results are reported below. Clinical data 1 General information 45 cases in this group 35 patients were male and 10 female, aged 14 to 60 years, mean 45 years. Malleolus fracture of his right foot in 25 cases, left in 20 cases, 10 cases of open fractures. According to Lauge hanson classification, all pronation abduction cases are type ( type and pronation external rotation ( type, of which 27 cases of type (60%, 18 cases (40% 2 surgical methods of epidural anesthesia, surgery under tourniquet. Incision behind the medial malleolus closed fracture to take regular, appropriate expansion of open fracture wounds along the original incision. Revealed the fracture, removing blood clots and bone fragments articular block, after the use of anatomic towel clamp block of the maximum temporary fracture fixation, the first two 0.1cm diameter Kirschner wire from the medial malleolus to the tibial cross-drilled into a fixed, and then 2cm away from the fracture of the tibia at the bone drill a hole, the four so long “ 7 “No thread holes into bone in the fracture line crossing the surface, around the two Kirschner wires were fastened, the direction of passive ankle joint, fracture stability prison without separation, fracture of the triangular ligament repair, layer by layer wound closure, intraoperative 2 weeks after the brake, the ankle joint function after suture