Baker Jeffrey R, Patel Shail N, Teichman Adam J, Bochat Summer E S, Fleischer Adam E, Knight Jessica M
Weil Foot & Ankle Institute, Des Plaines, Illinois 60016, USA.
Foot Ankle Spec. 2012 Jun;5(3):160-7. doi: 10.1177/1938640012443283. Epub 2012 May 9.
The initial management of ankle fracture-dislocations is the crucial step in the treatment of these emergent traumatic injuries. A stepwise approach is necessary to properly evaluate, diagnose, and treat ankle fracture-dislocations. The goal of initial management is to evaluate the vascular status of the extremity and then restore proper alignment of the talus underneath the tibia. A retrospective review was performed on 40 patients, who presented to a community-based hospital emergency room, treated by the foot and ankle service for ankle fracture-dislocation. An analysis of patient demographics, injury pattern/classification, number of reduction attempts, and immobilization method was performed and evaluated. This analysis was correlated with a review of the literature to develop an algorithm for the initial management of ankle fracture-dislocations recommending the use of a bivalved below-the-knee fiberglass cast for maintained stabilization post reduction.
Therapeutic Level IV.
踝关节骨折脱位的初始处理是治疗这些急性创伤性损伤的关键步骤。采用逐步方法对于正确评估、诊断和治疗踝关节骨折脱位很有必要。初始处理的目标是评估肢体的血管状况，然后恢复距骨在胫骨下方的正确对线。对40例因踝关节骨折脱位到一家社区医院急诊室就诊并由足踝科治疗的患者进行了回顾性研究。对患者人口统计学、损伤模式/分类、复位尝试次数和固定方法进行了分析和评估。该分析与文献回顾相关联，以制定踝关节骨折脱位初始处理的算法，推荐使用双瓣式膝下玻璃纤维石膏来维持复位后的稳定。
治疗水平IV。
