Clare Michael P
Florida Orthopaedic Institute, 13020 Telecom Parkway North Tampa, FL 33637, USA.
Foot Ankle Clin. 2008 Dec;13(4):593-610. doi: 10.1016/j.fcl.2008.09.003.
Ankle fractures involve a spectrum of injury patterns from simple to complex, such that these injuries are not always "just an ankle fracture." By combining the injury mechanism and the radiographic findings, the surgeon can apply the Lauge-Hansen classification in taking a rational approach to the management of these fractures. Syndesmotic instability and atypical patterns are becoming increasingly recognized, in part through the judicious use of CT scans. The goal of surgical stabilization includes atraumatic soft tissue management, rigid internal fixation, and early range of motion exercises in maximizing return of function.
踝关节骨折包含一系列从简单到复杂的损伤模式，因此这些损伤并不总是“仅仅是踝关节骨折”。通过结合损伤机制和影像学表现，外科医生可以应用劳格 - 汉森分类法对这些骨折采取合理的治疗方法。下胫腓联合不稳定和非典型模式越来越受到认可，部分原因是通过合理使用CT扫描。手术稳定的目标包括无创的软组织处理、坚强的内固定以及早期进行活动度练习，以最大程度恢复功能。
