Abstract：
BACKGROUND: Arthroscopy-assisted closed reduction and percutaneous internal fixation is a minimally invasive technique for medial malleolus fracture treatment. The purpose of the study was to assess the quality and functional outcomes of this technique.
METHODS: Seventy-eight patients with combined medial malleolus fractures were treated with arthroscopy-assisted closed reduction and percutaneous screw fixation technique. The surgical procedure was described in detail; the clinical efficacy of this method was evaluated in terms of time of operation, postoperative complications, and fracture healing time; and functional outcomes were analyzed.
RESULTS: All of the patients were followed up for a minimum of 12 months without complications of the medial malleolus wound, and all of the medial malleolus fractures healed within 6 to 8 weeks. At the last follow-up, the visual analog scale scores ranged from 0 to 3 and the American Orthopaedic Foot and Ankle Society ankle and hindfoot function scores ranged from 75 to 95.
CONCLUSIONS: Arthroscopy-assisted closed reduction and percutaneous internal fixation makes the treatment of medial malleolus fractures less invasive compared with traditional surgical methods and allows simultaneous exploration and management of the articular surface.
METHODS: Seventy-eight patients with combined medial malleolus fractures were treated with arthroscopy-assisted closed reduction and percutaneous screw fixation technique. The surgical procedure was described in detail; the clinical efficacy of this method was evaluated in terms of time of operation, postoperative complications, and fracture healing time; and functional outcomes were analyzed.
RESULTS: All of the patients were followed up for a minimum of 12 months without complications of the medial malleolus wound, and all of the medial malleolus fractures healed within 6 to 8 weeks. At the last follow-up, the visual analog scale scores ranged from 0 to 3 and the American Orthopaedic Foot and Ankle Society ankle and hindfoot function scores ranged from 75 to 95.
CONCLUSIONS: Arthroscopy-assisted closed reduction and percutaneous internal fixation makes the treatment of medial malleolus fractures less invasive compared with traditional surgical methods and allows simultaneous exploration and management of the articular surface.
摘要：
背景：关节镜辅助闭合复位经皮内固定是治疗内踝骨折的一种微创技术。该研究的目的是评估该技术的质量和功能结果。
方法：对78例合并内踝骨折患者进行关节镜辅助闭合复位经皮螺钉内固定治疗。详细介绍了手术方法；根据手术时间评估了该方法的临床疗效，术后并发症,骨折愈合时间和功能结局进行分析。
结果：所有患者随访至少12个月，无内踝伤口并发症。内踝骨折均在6～8周内愈合。在最后一次随访中，视觉模拟量表评分为0~3分,美国骨科足踝和踝关节协会踝足和后足功能评分为75~95分.
结论：关节镜辅助下闭合复位经皮内固定治疗内踝骨折与传统手术方法相比创伤小，可以同时探查和处理关节面。
方法：对78例合并内踝骨折患者进行关节镜辅助闭合复位经皮螺钉内固定治疗。详细介绍了手术方法；根据手术时间评估了该方法的临床疗效，术后并发症,骨折愈合时间和功能结局进行分析。
结果：所有患者随访至少12个月，无内踝伤口并发症。内踝骨折均在6～8周内愈合。在最后一次随访中，视觉模拟量表评分为0~3分,美国骨科足踝和踝关节协会踝足和后足功能评分为75~95分.
结论：关节镜辅助下闭合复位经皮内固定治疗内踝骨折与传统手术方法相比创伤小，可以同时探查和处理关节面。
