Cappagh National Orthopaedic Hospital, Cappagh Road, Finglas, Dublin 21, Ireland.
Foot Ankle Surg. 2010 Mar;16(1):15-20. doi: 10.1016/j.fas.2009.03.004. Epub 2009 May 1.
Lateral process fractures of the talus are a rare injury with significant associated morbidity when missed. Only a small number of case series' and reports are available and the appropriate management of these fractures is not really known.
We reviewed available English language literature for reports and series of lateral process fractures of talus. Only papers in which the classification of fracture, management and outcome were clear were included in our analyses.
109 Cases in total were identified including four cases from a personal series. 50 Type I, 17 type II and 29 type III fractures were analysed. A significant number of patients required late surgery when the diagnosis was initially missed.
Type I fractures are best treated with ORIF, type II with excision and type III with casting. Fractures presenting late that are not united should be excised if small and internally fixed if large.
外踝突骨折是一种罕见的损伤，如果漏诊，会导致严重的相关并发症。目前仅有少量病例系列和报告，因此对于这种骨折的恰当处理方法仍不明确。
我们检索了英文文献中有关外踝突骨折的病例报告和病例系列，仅纳入骨折分类、处理和结局明确的研究。
共纳入 109 例患者，包括个人系列中的 4 例。分析了 50 例Ⅰ型、17 例Ⅱ型和 29 例Ⅲ型骨折。初次漏诊时，很多患者需要接受后期手术。
Ⅰ型骨折最佳治疗方法为切开复位内固定，Ⅱ型为切除，Ⅲ型为石膏固定。如果骨折较小且未愈合，可选择切除；如果骨折较大，可选择内固定。
