Department of Trauma and Orthopaedics, Addenbrookes Major Trauma Unit, Cambridge University Hospitals, Cambridge, UK.
School of Clinical Medicine, University of Cambridge, Cambridge, UK.
J Perioper Pract. 2022 Nov;32(11):295-300. doi: 10.1177/17504589211006018. Epub 2021 Jun 30.
Ankle fractures are common injuries that can result in substantial morbidity in the population. This review discusses the management of closed ankle fractures and outlines the recent evidence and guidelines on perioperative management. In general, a detailed history should be undertaken, followed by examination and imaging of the affected limb. Fixation is based on the AO principles of fracture management that aims towards restoring stability of the joint and reducing the risk of long-term complications. A multidisciplinary approach towards perioperative management is recommended in view of the increasing proportion of aging patients with significant comorbidities.
踝关节骨折是常见的损伤，可导致人群中大量发病率。本文讨论了闭合性踝关节骨折的治疗，并概述了近期关于围手术期管理的证据和指南。一般来说，应进行详细的病史采集，然后对受累肢体进行检查和影像学检查。固定基于骨折管理的 AO 原则，旨在恢复关节稳定性并降低长期并发症的风险。鉴于越来越多的老年患者伴有严重合并症，推荐采用多学科方法进行围手术期管理。
