Kwon John Y, Cronin Patrick, Velasco Brian, Chiodo Christopher
1 Beth Israel Deaconess Medical Center, Boston, MA, USA.
2 Harvard Combined Orthopaedic Residency Program, Boston, MA, USA.
Foot Ankle Int. 2018 Jul;39(7):865-873. doi: 10.1177/1071100718768509. Epub 2018 Apr 13.
Evaluation and management of ankle fractures has progressed in parallel to an evolving understanding of ankle stability. While stability of the mortise had historically been attributed to the lateral malleolus, Lauge-Hansen's contributions followed by multiple other investigations increased the emphasis on the significance of medial-sided injury in destabilizing the mortise. As the importance of the deltoid ligament has been elucidated, the means of assessing ligamentous incompetence and the prognostic significance of an unstable mortise continue to be defined.
Level V, expert opinion.
踝关节骨折的评估与处理随着对踝关节稳定性认识的不断发展而取得了进展。虽然历史上一直认为踝关节榫眼的稳定性归因于外踝，但Lauge-Hansen的贡献以及随后的多项其他研究增加了对内侧损伤在破坏踝关节榫眼稳定性方面重要性的重视。随着三角韧带重要性的阐明，评估韧带功能不全的方法以及不稳定踝关节榫眼的预后意义仍有待确定。
V级，专家意见。
