Stenquist Derek S, Kwon John Y
Harvard Combined Orthopaedic Residency Program, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
Orthopaedic Foot & Ankle Service, 330 Brookline Avenue, Boston, MA 02215, USA.
Foot Ankle Clin. 2020 Dec;25(4):613-630. doi: 10.1016/j.fcl.2020.08.001. Epub 2020 Oct 1.
Nearly half of surgically treated ankle fractures may have associated syndesmotic disruption, and the quality of reduction has been shown to affect functional outcomes. Malreduction ranges from 15% to 50% in the literature, and achieving anatomic reduction remains a significant challenge, even for experienced surgeons. Keys to success include having a stepwise plan and an understanding of reliable fluoroscopic parameters to help achieve reduction in both the coronal and sagittal planes. This article summarizes the literature on syndesmotic reduction and provides the authors' preferred technique using fluoroscopy.
接受手术治疗的踝关节骨折中，近一半可能伴有下胫腓联合损伤，且复位质量已被证明会影响功能预后。文献报道的复位不良率在15%至50%之间，即使对于经验丰富的外科医生来说，实现解剖复位仍然是一项重大挑战。成功的关键包括制定逐步计划以及了解可靠的透视参数，以帮助在冠状面和矢状面实现复位。本文总结了关于下胫腓联合复位的文献，并介绍了作者首选的透视技术。
