Department of Orthopaedic Surgery, University of Virginia, Box 800159, Charlottesvlle, VA 22908, USA.
Clin Sports Med. 2020 Oct;39(4):733-743. doi: 10.1016/j.csm.2020.06.003. Epub 2020 Aug 13.
Despite the fact that ankle fractures are common injuries, not all patients obtain satisfactory results. Historically, the deltoid ligament injury and intra-articular pathology have not often been treated at the time of fracture stabilization. Recent literature has suggested that repair of the deltoid ligament may lead to better stability of the ankle mortise. Additionally, the use of arthroscopy in conjunction with fracture fixation may allow for better identification and treatment of intra-articular lesions and improve detection and reduction of subtle instability.
尽管踝关节骨折是常见的损伤,但并非所有患者都能获得满意的结果。从历史上看,三角韧带损伤和关节内病理改变在骨折固定时通常未得到治疗。最近的文献表明,三角韧带修复可能会导致踝关节距骨更稳定。此外,关节镜检查结合骨折固定术的应用可能有助于更好地识别和治疗关节内病变,并提高对细微不稳定的检测和复位能力。