Hockenbury R T, Friermood T G
Department of Orthopedics, Fitzsimons Army Medical Center, Aurora, Colorado.
J Orthop Trauma. 1992;6(1):120-4.
A case report of a patient with posterior dislocation of an intact fibula at the distal tibiofibular joint is presented. This rare injury is a variant of a Bosworth fracture, which is a posterior dislocation of the fibula usually accompanied by an oblique fibular fracture. The injury was initially treated by open reduction of the fibular dislocation, repair of avulsed lateral and deltoid ligaments, and placement of a syndesmotic screw. At one year postoperative, the patient has a poor result secondary to talar avascular necrosis and secondary degenerative ankle arthritis.
本文报告一例完整腓骨在胫腓远侧关节处后脱位患者的病例。这种罕见损伤是博斯沃思骨折的一种变异类型，博斯沃思骨折通常是腓骨后脱位并伴有腓骨斜形骨折。该损伤最初采用腓骨脱位切开复位、修复外侧和三角韧带撕脱伤以及置入下胫腓联合螺钉进行治疗。术后一年，患者因距骨缺血性坏死和继发性退行性踝关节炎导致预后不佳。
