三踝骨折

三踝骨折（Cotton骨折）的手术治疗

Surgical Therapy of Cotton ` s Fracture

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。

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

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。

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 .

手法复位外固定器固定治疗三踝骨折

Treament of trimalleolar fracture with manipulative reduction and improved ilizarov fixator

目的：探讨三踝骨折的独立分型。

Objective : To introduce an independent classification of trimalleolar fractures .

其中双踝骨折14例，三踝骨折9例。

Among them 14 had bimalleolar fractures and 9 had trimalleolar fractures .

切开复位内固定治疗三踝骨折的疗效分析

The Analysis of Opening Reduction and Internal Fixation of Three Ankle Fractures

三踝骨折合并踝关节脱位的综合术式评价

Surgical Treatment of trimalleolar fractures and Dislocation of the Ankle

手术治疗三踝骨折32例临床疗效分析

Clinical results of surgical treatment of the trimalleolar fractures in 32 cases

手法整复加微切口手术治疗三踝骨折

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

结论：可吸收螺钉是治疗三踝骨折较理想的内固定物。

Conclusion : Absorbable screw is ideal fixation in treating three ankle fracture .

微创治疗三踝骨折

Mini-invasive surgery for the treatment of trimalleolar fracture

手术治疗外旋型三踝骨折21例

The operation for treatment of 21 patients with Cotton 's fracture of the ankle

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

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

明确手法整复加石膏外固定疗法在旋后外旋型三踝骨折治疗中的临床地位。

To identify the clinical position of manipulative reduction to supinate and extorsion Trimalleolar fractures .

手法整复外固定治疗旋后外旋型三踝骨折

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

结论：根据X线片可对三踝骨折进行独立分型。

Conclusion : The independent classification of trimalleolar fractures can be made according to X-ray film .

目的：讨论三踝骨折手术治疗的重要性；探讨三踝骨折内固定治疗技术。

To study of internal fixation technology in the Cotton 's fracture and the significance of operative .

但是对于特定的旋后外旋型三踝骨折患者人群，手法整复加石膏外固定仍然可以作为临床较为理想的治疗方法之一。

It is still one of the Ideal methods to supinate and extorsion Trimalleolar fractures in clinic .

手法复位塑形夹板固定治疗闭合性三踝骨折48例临床观察

Clinical Observation on Combination of Manipulative Reduction and Conforming Splinting for the Treatment of Closed Fracture of Ankle

深刻把握其损伤机理及移位规律是三踝骨折治疗成功的关键。

Profoundly grasping the damage mechanism and shifting laws is the key to success in treating trimalleolar fractures .

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。

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

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

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

方法：①通过对7例新鲜踝关节标本的测量，了解三踝骨折的最佳手术入路；

Methods : ① Seven fresh ankles were measured to elucidate the most rational operative approach of the trimalleolar fractures .

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。

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

结果：三踝骨折可分为稳定型（12例）和非稳定型（30例）。

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

目的探讨重建钛板及螺钉内固定治疗三踝骨折的手术方法和临床效果。

Objective To explore the clinical effect of Healling Fracture of three ankle with rebuilded Ti board and screw internal fixation .

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。

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

目的：观察及评价手法整复加石膏外固定及手术切开复位内固定加石膏外固定两种方法对旋后外旋型三踝骨折的近期疗效；

OBJECTIVE : To observe and revaluation the respective recent curative effect to supinate and extorsion Trimalleolar fractures of manipulative reduction and operation .

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。

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