Treament of trimalleolar fracture with manipulative reduction and improved ilizarov fixator

手法复位外固定器固定治疗 三 踝 骨折

Trimalleolar ankle fractures happens in ankle fracture of great violence and serious injury and middle-aged women . 2 .

结论 ： 1. 三 踝骨折常见于暴力较大，损伤 较重的踝关节 骨折，中老年女性 易发生。

Objective : To sum up experience of manipulative reduction in the treatment of trimalleolar fracture by the modified ilizarov fixator .

目的：总结用改良Ilizarov外固定器治疗 三 踝 骨折中的复位手法经验。

Biomechanics Study about the Half-pin on Posterior Malleolar when Trimalleolar Fracture is Treated by External Fixation in Dorsiflexion Position

肘内翻（前臂外翻）装上 肘接或用肘接固定外固定器背伸位固定治疗 三 踝 骨折后踝顶针的生物力学研究

Manipulative Reduction and Operation for the Treatment of the Trimalleolar Fracture of Postrotatory Extorsion

手法整复及手术加石膏外固定治疗 三 踝 骨折（旋后外旋型）疗效分析

Methods 9 patients with trimalleolar fracture of ankle were treated with poly-DL-lactic acid ( PDLLA ) absorbable screws the fixation of fracture had been immobilized for 4 ~ 6 weeks by gypsum after operation .

方法采用PDLLA可吸收螺钉手术治疗 三 踝 骨折9例，术后石膏固定4～6周。

Eight cases had only medial malleolus fracture 21 pure lateral malleolus fracture 58 bimalleolar fracture and 33 trimalleolar fracture .

受伤肢体左侧55例，右侧65例，其中单纯内踝骨折8例，单纯外踝骨折21例，双 踝 骨折58例， 三踝骨折33例。

Mini-invasive surgery for the treatment of trimalleolar fracture

微创治疗 三 踝 骨折

Manipulative reduction and external fixation for the treatment of the trimalleolar fracture of postrotatory extorsion

手法整复外固定治疗旋后外旋型 三 踝 骨折

Results : Trimalleolar fracture was classified into stable ( 12 cases ) and unstable ( 30 cases ) types .

结果： 三 踝 骨折可分为稳定型（12例）和非稳定型（30例）。

Treatment of closed trimalleolar fracture of the ankle with manual reduction and micro-incision

手法整复加微切口手术治疗 三 踝 骨折

Objective : To report the experience and evaluate the results of patients with trimalleolar fracture treated with surgical intervention by follow-up analysis .

目的：开放手术治疗 三 踝 骨折，总结临床经验并对手术疗效进行随访分析。

In our clinical studies we found we can classify the trimalleolar fracture according to the talar shift directions and if there has been a separating with the inferior tibiofibular joint or not .

我们在临床研究中发现 三 踝 骨折存在以其距骨移位的方向和下胫腓联合分离的有无为 基础 的 独立分 型。

Conclusion3D imaging technique applied in the operation could play a good assisted effect on the trimalleolar fracture .

结论术中三维成像技术对 三 踝 骨折切开复位内固定手术有很好的辅助作用。