HSS J. 2011 Feb;7(1):85-8. doi: 10.1007/s11420-010-9166-z. Epub 2010 Sep 11.
With the advances in trauma care, chronic fracture dislocation of the ankle is not a condition commonly seen in modern clinical practice. When encountered, it can be difficult to preserve the ankle joint. We present a case of a 65-year-old female, with a chronic fracture dislocation of the ankle. The ankle joint was subluxated with posterior translation of the talus, displacement of the posterior malleolus fragment, and a distal fibula fracture. A minimally traumatic approach was devised to treat this complex fracture dislocation which included gradual reduction of the ankle with a Taylor spatial frame, followed by stabilization with internal fixation and removal of the frame. Bony union and restoration of the ankle joint congruency was achieved.
随着创伤治疗的进步，慢性踝关节骨折脱位在现代临床实践中已不常见。但遇到时，往往难以保留踝关节。我们报告了 1 例 65 岁女性慢性踝关节骨折脱位病例。距骨后移、后踝骨块移位和腓骨远端骨折导致踝关节半脱位。我们设计了一种微创方法来治疗这种复杂的骨折脱位，包括使用 Taylor 空间框架逐渐复位踝关节，然后通过内固定稳定，并取出框架。实现了骨折愈合和踝关节关节面吻合的恢复。
