Swords Michael P, Shank John R
Michigan Orthopedic Center, 2815 Pennsylvania Avenue, Suite 204, Lansing, MI 48823, USA.
Department of Orthopedic Surgery, Colorado Center of Orthopaedic Excellence, 2446 Research Parkway, Suite 200, Colorado Springs, CO 80920, USA.
Foot Ankle Clin. 2021 Mar;26(1):103-119. doi: 10.1016/j.fcl.2020.10.006. Epub 2020 Dec 13.
Syndesmosis injury may occur in a wide variety of clinical scenarios. Accurate diagnosis and anatomic reconstruction are necessary for optimizing clinical outcomes. The management considerations of syndesmotic injuries with associated proximal fibula fractures are reviewed. Methods to improve the accuracy of syndesmotic reduction are outlined. The management of fractures of the posterior malleolus, Chaput tubercle, and Wagstaffe tubercle is discussed with an emphasis on their contributions to syndesmotic stability. The evolving role of flexible fixation for syndesmosis injuries is discussed. Causes and strategies for dealing with loss of reduction and malreduced syndesmotic injuries are presented.
下胫腓联合损伤可能发生在多种临床情况下。准确的诊断和解剖重建对于优化临床结果是必要的。本文回顾了伴有近端腓骨骨折的下胫腓联合损伤的治疗考量。概述了提高下胫腓联合复位准确性的方法。讨论了后踝、查普特结节和瓦格斯塔夫结节骨折的治疗，重点是它们对下胫腓联合稳定性的影响。探讨了下胫腓联合损伤弹性固定的不断演变的作用。介绍了复位丢失和下胫腓联合损伤复位不良的原因及应对策略。
