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S 型后外侧入路切开复位内固定治疗旋前外旋型踝关节骨折:改善后关节及外踝的显露。

S-Type Posterolateral Approach for Open Reduction and Internal Fixation of Pronation External Rotation Ankle Fractures: Improved Visualisation of the Posterior Joint and the Lateral Malleolus.

机构信息

Surgeon, Department of Orthopaedics, Shandong Provincial Qianfoshan Hospital, The First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong, China.

Professor, Department of Orthopaedics, Shandong Provincial Qianfoshan Hospital, The First Affiliated Hospital of Shandong First Medical University, Jinan, Shandong, China.

出版信息

J Foot Ankle Surg. 2021 Mar-Apr;60(2):421-423. doi: 10.1053/j.jfas.2020.06.019. Epub 2020 Jun 27.

DOI:10.1053/j.jfas.2020.06.019
PMID:33397580
Abstract

Pronation external rotation (PER) fractures are unstable ankle fractures that require anatomically stable fixation. However, due to the long distance between the fibula and the posterior malleolus in PER IV, existing approaches may make it difficult for the fixation of the associated posterior joint and the lateral malleolus. We describe an S-type posterolateral approach for the open reduction and internal fixation of posterior malleolar fractures with an associated lateral malleolar fracture in PER IV.

摘要

旋前外旋(PER)骨折是不稳定的踝关节骨折,需要解剖学上稳定的固定。然而,由于 PER IV 中腓骨和后踝之间的距离较长,现有的方法可能使相关的后关节和外踝的固定变得困难。我们描述了一种 S 型后外侧入路,用于开放性复位和 PER IV 中伴发外踝骨折的后踝骨折的内固定。

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