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[Non-surgical treatment for fracture-disloction of ankle]
1Department of Orthopaedics, Third Affiliated Hospital of Guangxi College of TCM, Liuzhou, 545001 Guangxi, China. rmx19882003@yahoo.com.cn
Objective:
To summarize the clinical effects of the manipulative reduction and splint fixation for the treatment of fracture-dislocation of ankle.
Methods:
From April 1990 to June 2010, 53 patients with fracture dislocation of ankle were treated with non-operative treatment including manipulative reduction, splint fixation, oral herbal soup and early functional exercises. There were 32 males and 21 females with an average age of 42.5 years (ranged, 25 to 60). There were 30 cases in left and 23 cases in right. Ankle joint function was evaluated according to standard of Mazur.
Results:
Follow up time was from 6 to 60 months with an average of 33 months; all the fractures healed with an average of 4 months (ranged, 3 to 5). The mean of Mazur scoring was 90.11+/- 8.40, 36 cases got excellent results, 11 good, 3 fair and 3 poor.
Conclusion:
With non-operative treatment such as manipulative reduction and splint external fixation for fracture-dislocation of ankle can obtain satisfactory effects, which has advantage of simple operation, less trauma.
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