Stead Thor S, Pomerantz Lauren H, Ganti Latha, Leon Leoh, Elbadri Samyr
Emergency Medicine, Brown University, Warren Alpert Medical School, Providence, USA.
Medicine, University of Central Florida College of Medicine, Orlando, USA.
Cureus. 2021 Jan 6;13(1):e12536. doi: 10.7759/cureus.12536.
Extremity trauma is a common emergency department presentation. The authors report a case of an elderly woman who sustained a trimalleolar ankle fracture. Emergency department care includes stabilization of the fracture with a splint, with careful assessment of neurovascular status. Trimalleolar fractures are unstable and thus almost always will require surgical repair. This is true even for elderly patients and those with co-morbidities. Patients who do not get a surgical repair for these fractures are at risk for significant morbidity, including compartment syndrome, arthritis, malunion, and loss of mobility.
四肢创伤是急诊科常见的病症。作者报告了一例老年女性发生三踝骨折的病例。急诊科的处理包括用夹板固定骨折，并仔细评估神经血管状况。三踝骨折不稳定，因此几乎总是需要手术修复。即使是老年患者和有合并症的患者也是如此。这些骨折未接受手术修复的患者有发生严重并发症的风险，包括骨筋膜室综合征、关节炎、畸形愈合和活动能力丧失。
