Ankle composed by the distal tibia, distal fibula and talus body ition. Ankle fractures are caused by indirect violence, such as flexor sprain. Fracture ankle swells, or bruising, and severe open fracture dislocation may occur.
Fracture type:
TypeⅠ: varus adduction.
Type Ⅱ:varus external rotation; valgus outreach.
Type Ⅲ: valgus external rotation.
Ankle fractures are intra-articular fractures. Reduction should strive to reach anatomical reduction and restore smooth articular surface, preventing traumatic arthritis.
1. No displaced fractures
Plaster in varus or valgus position, 6-8 weeks.
2. Displaced fractures
ORIF
Type Ⅰ: double ankle fracture, internal fixation, 8-12 weeks.
TypeⅡ: three ankle fractures, cut internal fixation.
Malleolus: cancellous bone screws.
Lateral: Generally with steel.
Ankle: Images 1 / 3-1 / 4 of the articular surface, the fixation.
Type Ⅲ: ORIF.
1. 1 week after surgery, position should be supine, lying on a hard mattress. Limb is slightly higher than the heart level. After the swelling subsided, take a half-lying or sitting position, according to the patient. Limb elevate at 15 ° ~ 30 ° and maintain a neutral position.
2. More high-protein, high-vitamins, calcium and other diet.
3. There are plans to exercise, step by step, so as not to fatigue degree, to avoid further damage.
4. If joint feels stiffness and painful, based on continuing with the exercise of Chinese Medical Herb Washing, show muscle massage tincture, continuing taking bone drugs. Regularly go to the hospital, according to fracture healing, which determined to lift external fixation time.
