Gustilo IIIA 型开放性双踝骨折伴同侧跟腱断裂：病例报告及文献复习。
Gustilo IIIA Open Bimalleolar Fracture Dislocation of Ankle with Ipsilateral Achilles Tendon Rupture: A Case Report and Review of Literature.
机构信息
Department of Orthopaedic Surgery, University of California, San Diego, California.
出版信息
JBJS Case Connect. 2021 May 21;11(2):01709767-202106000-00086. doi: e20.00435.
CASE
Although rare, a medial malleolus fracture plus ipsilateral Achilles tendon rupture has been described in previous case reports. We present a unique case of an open bimalleolar fracture dislocation with ipsilateral Achilles tendon rupture after a motorcycle crash. His Achilles injury was diagnosed intraoperatively during external fixator placement. He presented in a delayed fashion to our institution, where he underwent open reduction internal fixation and Achilles tendon reconstruction.
CONCLUSION
Although most commonly described with isolated medial malleolus fractures, Achilles tendon injuries can also be associated with bimalleolar ankle fractures. These associated injuries are frequently missed.
病例
虽然罕见，但既往病例报告中已有描述内侧外踝骨折合并同侧跟腱断裂的情况。我们报告了一例独特的摩托车事故后开放性双踝骨折脱位合并同侧跟腱断裂的病例。术中在放置外固定架时诊断出他的跟腱损伤。他延迟到我们的机构就诊，在那里他接受了切开复位内固定和跟腱重建。
结论
尽管最常与孤立的内踝骨折一起描述，但跟腱损伤也可与双踝骨折相关。这些相关损伤经常被漏诊。
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