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复杂踝关节骨折:手术治疗的实用方法。

Complex Ankle Fractures: Practical Approach for Surgical Treatment.

机构信息

Foot and Ankle Division "CEPP", Instituto Dupuytren, Av. Belgrano 3402, Ciudad Autónoma de Buenos Aires CP 1078, Argentina.

Foot and Ankle Division "CEPP", Instituto Dupuytren, Av. Belgrano 3402, Ciudad Autónoma de Buenos Aires CP 1078, Argentina; Foot and Ankle Division, Orthopaedics Department, Centro Artroscópico Jorge Batista SA, Pueyrredón 2446 1 Er Piso, Ciudad Autónoma de Buenos Aires (CABA) CP 1119, Argentina; Instituto Barrancas, Hipolito Yrigoyen 902, QUILMES, CP 1878, Buenos Aires, Argentina.

出版信息

Foot Ankle Clin. 2020 Dec;25(4):587-595. doi: 10.1016/j.fcl.2020.08.002. Epub 2020 Sep 18.

DOI:10.1016/j.fcl.2020.08.002
PMID:33543717
Abstract

Anatomic reduction of the posterior malleolus is mandatory for a good functional outcome. Preoperative planning with a computed tomography scan's axial view helps to decide which approach and surgical position we should choose. Based on posterior malleolus fracture anatomy, a guideline is suggested to facilitate decision making on which approach seems to give the best exposure with minimum complications.

摘要

后踝的解剖复位对于获得良好的功能结果至关重要。术前通过 CT 扫描的轴位片进行规划有助于决定应选择哪种入路和手术体位。根据后踝骨折的解剖结构,我们提出了一个指导原则,以帮助决策哪种入路能够提供最佳的显露,同时最小化并发症。

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