Wissing J C, van Laarhoven C J, van der Werken C
Bosch Medicentrum, Willem-Alexander Hospital, 'Shertogenbosch, The Netherlands.
Injury. 1992;23(2):94-6. doi: 10.1016/0020-1383(92)90040-y.
Anatomical reduction and internal fixation of displaced lateral malleolar fractures are the cornerstone of the operative treatment of ankle fractures. The classical method of fixation is the application of one-third tubular plates laterally to the distal fibula, a technique, however, that has several disadvantages. In exceptional cases and under special circumstances we prefer a dorsal approach with the use of an antiglide plate. Indications, technique and experiences are discussed.
解剖复位及固定移位的外踝骨折是踝关节骨折手术治疗的基石。经典的固定方法是在腓骨远端外侧应用三分之一管形钢板,然而,该技术存在一些缺点。在特殊情况及特定条件下,我们更倾向于采用背侧入路并使用防滑钢板。本文将对其适应证、技术及经验进行讨论。