Yeoh Ching Sing, Tan Gek Meng Jeffrey
Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore.
J Orthop Surg (Hong Kong). 2013 Aug;21(2):249-52. doi: 10.1177/230949901302100228.
Bosworth fracture-dislocation of the ankle is a rare injury in which the proximal fibular fragment is entrapped behind the tibia. Closed reduction is extremely difficult to achieve. Early open reduction and internal fixation enables a better outcome by minimising soft-tissue damage. We report on a 36-year-old man who underwent open reduction and internal fixation for a Bosworth fracture-dislocation of the ankle complicated by severe soft-tissue swelling and an impending risk of skin necrosis after failed closed reduction.
博斯沃思踝关节骨折脱位是一种罕见的损伤，其中腓骨近端骨折块嵌顿于胫骨后方。闭合复位极难实现。早期切开复位内固定可通过将软组织损伤降至最低而获得更好的疗效。我们报告一例36岁男性患者，其因博斯沃思踝关节骨折脱位行切开复位内固定术，该患者在闭合复位失败后出现严重软组织肿胀及即将发生皮肤坏死的风险。
