Davidovitch Roy I, Egol Kenneth A
New York University School of Medicine, New York, New York, USA.
Bull NYU Hosp Jt Dis. 2009;67(4):318-24.
Ankle stability in ankle fractures is dependent on multiple factors. The medial malleolus and the associated deltoid ligament provide for ankle stability on the medial side. Over the years, the relative importance of this medial malleolar osteoligamentous complex (MMOLC) has been debated. This review will describe the evolution of ankle fracture surgery from the perspective of the contribution of the MMOLC to re-establishing ankle stability. Also discussed are the surgical and nonsurgical treatment options, various presentations of medial sided injuries in ankle fractures, and, finally, current recommendations for fixation.
踝关节骨折时的踝关节稳定性取决于多种因素。内踝及相关的三角韧带为踝关节内侧提供稳定性。多年来，这种内踝骨韧带复合体（MMOLC）的相对重要性一直存在争议。本综述将从MMOLC对重建踝关节稳定性的贡献角度描述踝关节骨折手术的发展历程。还将讨论手术和非手术治疗方案、踝关节骨折内侧损伤的各种表现，以及最后的当前固定建议。
