Duan Xiaojun, Kadakia Anish R
Center for Joint Surgery, Southwest Hospital, Third Military Medical University, Chongqing, 400038, P.R, China.
Department of Orthopedic Surgery, Northwestern University - Feinberg School of Medicine, Chicago, IL 60611, USA.
Open Orthop J. 2017 Jul 31;11:732-742. doi: 10.2174/1874325001711010732. eCollection 2017.
Fractures of the posterior malleolus can occur in conjunction with fibular and medial malleolar fractures or in isolation. The indications for fixation of the posterior malleolus remain controversial except for the fragment sizes. A number of different surgical approaches and techniques for internal fixation of posterior malleolar fractures have been reported. Newer techniques such as direct exposure and plating of the posterior malleolus are chosen more frequently than traditional techniques of indirect reduction and percutaneous screw fixation. These attributes help to minimize the occurrence of postoperative complications.
后踝骨折可与腓骨和内踝骨折同时发生，也可单独出现。除了骨折块大小外，后踝骨折固定的指征仍存在争议。已经报道了许多用于后踝骨折内固定的不同手术入路和技术。与间接复位和经皮螺钉固定的传统技术相比，诸如直接显露后踝并钢板固定等新技术的选择更为频繁。这些特点有助于将术后并发症的发生率降至最低。
