Department of Orthopedics, Indiana University, 1801 N Senate Ave, MPC1 #535, Indianapolis, IN 46202, USA.
Department of Orthopedics, Indiana University, IU Health, 1801 N Senate Ave, MPC1 #535, Indianapolis, IN 46202, USA.
Orthop Clin North Am. 2021 Apr;52(2):123-131. doi: 10.1016/j.ocl.2021.01.001. Epub 2021 Feb 10.
This article explores different nontraditional methods that could be adopted in clinical settings as alternatives to the traditional fibular fixation. Less invasive methods, such as intramedullary nail and screw fixation, might be viable alternatives for managing ankle fractures. These methods might especially benefit patients with poor soft tissue envelopes, low immunity, and poor bone quality. There is minimal soft tissue coverage for most orthopedic implants around the ankle. Various authors have highlighted the importance of minimally invasive surgery as an effective modality for ensuring superior prognosis for ankle fracture surgery or those fractures involving both the distal tibia and fibula.
本文探讨了在临床环境中可以采用的不同非传统方法,以替代传统的腓骨固定。微创方法,如髓内钉和螺丝钉固定,可能是治疗踝关节骨折的可行替代方法。这些方法可能特别有益于软组织覆盖不良、免疫力低和骨质量差的患者。大多数踝关节周围的骨科植入物只有很少的软组织覆盖。许多作者强调了微创外科的重要性,认为它是确保踝关节骨折手术或涉及胫骨和腓骨的骨折的良好预后的有效方式。