Solan M C, Sakellariou A
Royal Surrey County Hospital, Egerton Road, Guildford, Surrey GU2 7XX, UK.
Frimley Park Hospital, Portsmouth Road, Frimley, Surrey GU16 7UJ, UK.
Bone Joint J. 2017 Nov;99-B(11):1413-1419. doi: 10.1302/0301-620X.99B11.BJJ-2017-1072.
The posterior malleolus component of a fracture of the ankle is important, yet often overlooked. Pre-operative CT scans to identify and classify the pattern of the fracture are not used enough. Posterior malleolus fractures are not difficult to fix. After reduction and fixation of the posterior malleolus, the articular surface of the tibia is restored; the fibula is out to length; the syndesmosis is more stable and the patient can rehabilitate faster. There is therefore considerable merit in fixing most posterior malleolus fractures. An early post-operative CT scan to ensure that accurate reduction has been achieved should also be considered. Cite this article: 2017;99-B:1413-19.
踝关节骨折的后踝部分很重要，但常常被忽视。术前用于识别和分类骨折类型的CT扫描使用不足。后踝骨折不难固定。在后踝复位并固定后，胫骨的关节面得以恢复；腓骨恢复长度；下胫腓联合更稳定，患者康复更快。因此，固定大多数后踝骨折有相当大的益处。还应考虑术后早期进行CT扫描以确保实现准确复位。引用本文：2017；99 - B：1413 - 19。
