三踝骨折：关于后踝骨折是否修复的无休止争论
Trimalleolar fracture: The endless posterior malleolus fracture debate, to repair or not to repair?
作者信息
Nasrallah Khalil, Einal Bathish, Shtarker Haim
机构信息
Galilee Medical Center, Department of Orthopedics, Nahariya, Israel.
出版信息
Orthop Rev (Pavia). 2021 Mar 30;13(1):8784. doi: 10.4081/or.2021.8784.
Abstract
Ankle fracture is one of the most common fractures presenting in the emergency department. The fracture varies from unimalleolar, bimalleolar or trimalleolar. Involvement of the posterior malleolus is common and ranges from small avulsions to large intraarticular fragments causing subluxation of the talus. If left untreated, the resulting step-off, comminution or posterior talar subluxation may lead to osteoarthritis and further disability. To date, no consensus exists regarding the management of posterior malleolus fractures in the set-up of trimalleolar fractures. In this review we provide an overview of the literature on the available treatment options for posterior malleolar fracture in the set-up of trimalleolar fractures.
摘要
踝关节骨折是急诊科最常见的骨折之一。骨折类型包括单踝、双踝或三踝骨折。后踝受累很常见，范围从小的撕脱骨折到导致距骨半脱位的大的关节内骨折块。如果不治疗，由此产生的台阶样畸形、粉碎性骨折或距骨后脱位可能导致骨关节炎和进一步的残疾。迄今为止，对于三踝骨折情况下后踝骨折的治疗尚无共识。在本综述中，我们概述了有关三踝骨折情况下后踝骨折可用治疗选择的文献。
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