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踝关节骨折的稳定性：诊断与治疗。

Stability in ankle fractures: Diagnosis and treatment.

作者信息

Lampridis Vasileios, Gougoulias Nikolaos, Sakellariou Anthony

机构信息

Frimley Park Hospital, UK.

出版信息

EFORT Open Rev. 2018 May 21;3(5):294-303. doi: 10.1302/2058-5241.3.170057. eCollection 2018 May.

DOI:10.1302/2058-5241.3.170057
PMID:29951269
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5994620/
Abstract

Medial column (deltoid ligament) integrity is of key importance when considering the stability of isolated lateral malleolus ankle fractures.Weight-bearing radiographs are the best method of evaluating stability of isolated distal fibula fractures.Computed tomography (CT) scanning is mandatory for the assessment of complex ankle fractures, especially those involving the posterior malleolus.Most isolated trans-syndesmotic fibular fractures (Weber-B, SER, AO 44-B) are stable and can safely be treated non-operatively.Posterior malleolus fractures, regardless of size, should be considered for surgical fixation to restore stability, reduce the need for syndesmosis fixation, and improve contact pressure distribution. Cite this article: 2018;3 DOI: 10.1302/2058-5241.3.170057.

摘要

在考虑单纯外踝踝关节骨折的稳定性时，内侧柱（三角韧带）的完整性至关重要。负重位X线片是评估单纯腓骨远端骨折稳定性的最佳方法。计算机断层扫描（CT）对于复杂踝关节骨折的评估是必需的，尤其是那些累及后踝的骨折。大多数单纯经下胫腓联合的腓骨骨折（Weber-B型、SER型、AO 44-B型）是稳定的，可以安全地进行非手术治疗。后踝骨折，无论大小，均应考虑手术固定以恢复稳定性、减少下胫腓联合固定的必要性并改善接触压力分布。引用本文：2018；3 DOI：10.1302/2058-5241.3.170057 。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc77/5994620/7b499c9eed86/eor-3-294-g010.jpg
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