Department of Orthopedic Surgery, Foot and Ankle Unit, Clinica Las Condes, Estoril 450, Las Condes, Santiago 7591047, Chile; Department of Orthopedic Surgery, Foot and Ankle Unit, Hospital del Trabajador, Ramon Carnicer 185, Providencia, Santiago 7501239, Chile; Department of Orthopedic Surgery, Universidad de Chile, Complejo Hospitalario San Jose, 1027 Independencia, Santiago 8380453, Chile.
Department of Orthopedic Surgery, Foot and Ankle Unit, Clinica Las Condes, Estoril 450, Las Condes, Santiago 7591047, Chile; Department of Orthopedic Surgery, Foot and Ankle Unit, Hospital del Trabajador, Ramon Carnicer 185, Providencia, Santiago 7501239, Chile.
Foot Ankle Clin. 2020 Dec;25(4):597-612. doi: 10.1016/j.fcl.2020.08.009. Epub 2020 Sep 28.
There is no consensus on whether the deltoid ligament must be repaired in ankle fractures. Recent studies have shown better early radiologic results when the deltoid ligament is repaired, but no differences in long term functional outcomes. However, there is evidence suggesting that patients with high fibular fractures or injuries with concomitant syndesmotic instability may benefit from repair. The authors recommend repairing the deltoid ligament complex in bimalleolar equivalent fractures associated with syndesmotic or gross multiligamentous instability as well as in heavier patients with greater mechanical requirements.
对于踝关节骨折是否必须修复三角韧带，目前尚无共识。最近的研究表明，修复三角韧带可获得更好的早期影像学结果，但在长期功能结果方面无差异。然而，有证据表明，腓骨高位骨折或合并下胫腓联合不稳定的损伤患者可能从修复中受益。作者建议在合并下胫腓联合或广泛多韧带不稳定的双踝骨折以及机械需求更高的较重患者中修复三角韧带复合体。
