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成人踝关节骨折的治疗原则和指南。

Principles and guidelines in the management of ankle fractures in adults.

机构信息

School of Clinical Medicine, University of Cambridge, Cambridge, UK.

Department of Trauma & Orthopaedics, Addenbrooke's Hospital, Cambridge, UK.

出版信息

J Perioper Pract. 2021 Nov;31(11):427-434. doi: 10.1177/1750458920969029. Epub 2021 Apr 7.

DOI:10.1177/1750458920969029
PMID:33826430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8575982/
Abstract

Ankle fractures are common injuries that have many physical and psychosocial complications. As a result, it is important to be aware of how these patients present and are managed perioperatively. Detailed guidelines from NICE and the British Orthopaedic Association have been produced on this topic, including recent developments such as the decision to weight-bear early after surgery and the use of virtual fracture clinics. This article provides an overview of the key perioperative factors that need to be considered in cases of ankle fracture and the relevant clinical guidelines.

摘要

踝关节骨折是一种常见的损伤,会导致许多身体和心理社会并发症。因此,了解这些患者的表现和围手术期的处理方法非常重要。NICE 和英国骨科协会已经就这一主题制定了详细的指南,包括最近的一些进展,如手术后早期负重和使用虚拟骨折门诊的决定。本文概述了踝关节骨折病例中需要考虑的围手术期关键因素和相关临床指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/347f/8575982/8184731e07f5/10.1177_1750458920969029-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/347f/8575982/4901ea03174a/10.1177_1750458920969029-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/347f/8575982/20790ffbb9dc/10.1177_1750458920969029-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/347f/8575982/8184731e07f5/10.1177_1750458920969029-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/347f/8575982/4901ea03174a/10.1177_1750458920969029-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/347f/8575982/20790ffbb9dc/10.1177_1750458920969029-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/347f/8575982/8184731e07f5/10.1177_1750458920969029-fig3.jpg

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Early Protected Weightbearing After Open Reduction Internal Fixation of Ankle Fractures With Trans-syndesmotic Screws.经跗骨间螺钉切开复位内固定术后早期保护性负重治疗踝关节骨折。
J Foot Ankle Surg. 2020 Jul-Aug;59(4):726-728. doi: 10.1053/j.jfas.2020.01.003. Epub 2020 Feb 11.
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Patient experiences of an ankle fracture and the most important factors in their recovery: a qualitative interview study.
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Eur J Trauma Emerg Surg. 2025 Feb 14;51(1):107. doi: 10.1007/s00068-025-02772-3.
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A Case Series on the Devastating Simultaneous Bilateral Fracture of Ankles That Remains Under-reported: Can We Address the Career-Ending Injuries?关于双侧踝关节严重同时骨折的病例系列报道:此类病例仍未得到充分报道,我们能否应对这种终结职业生涯的损伤?
J Orthop Case Rep. 2025 Jan;15(1):235-240. doi: 10.13107/jocr.2025.v15.i01.5186.
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Front Surg. 2024 Jul 17;11:1404746. doi: 10.3389/fsurg.2024.1404746. eCollection 2024.
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