Vopat Matthew L, Vopat Bryan G, Lubberts Bart, DiGiovanni Christopher W
Department of Orthopaedics, University of Kansas School of Medicine-Wichita, Via Christi Health, 929 N. St. Francis, Room 4076, Wichita, KS, 67214, USA.
University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66160, USA.
Curr Rev Musculoskelet Med. 2017 Mar;10(1):94-103. doi: 10.1007/s12178-017-9389-4.
Ideal management of the various presentations of syndesmotic injury remains controversial to this day. High quality evidentiary science on this topic is rare, and numerous existing studies continue to contradict one another. The primary reasons for these discrepancies are that previous studies have failed to (1) properly distinguish between isolated (non-fractured) and non-isolated injuries, (2) accurately define stable from unstable injuries, and (3) sufficiently differentiate between acute and chronic injuries. The purpose of this review is to summarize today's body of literature regarding diagnosis and management of syndesmotic injury and discuss current trends and important future directions to optimize care of this very heterogeneous population.
时至今日，对于下胫腓联合损伤的各种表现形式，理想的治疗方法仍存在争议。关于这一主题的高质量循证科学研究很少，而且现有的大量研究相互矛盾。这些差异的主要原因在于，以往的研究未能：（1）正确区分单纯（无骨折）损伤和非单纯损伤；（2）准确界定稳定损伤和不稳定损伤；（3）充分区分急性损伤和慢性损伤。本综述的目的是总结目前关于下胫腓联合损伤诊断和治疗的文献，并讨论当前的趋势以及未来重要的发展方向，以优化对这一非常多样化人群的治疗。
