Department of Orthopaedic Surgery, Kaiser Permanente, San Leandro, CA, USA.
Kaiser Permanente South Bay Consortium, Santa Clara, CA, USA.
Clin Podiatr Med Surg. 2023 Jul;40(3):529-537. doi: 10.1016/j.cpm.2022.12.003. Epub 2023 Feb 16.
Using ankle arthroscopy in conjunction to open reduction internal fixation of traumatic ankle injuries can play an important role in the management of these injuries by way of treating intra-articular pathologies, leading to improved patient outcomes. While a majority of these injuries are not treated with concurrent arthroscopy, its addition may lead to more prognostic information to dictate the patient's course. This article has illustrated its use in managing malleolar fractures, syndesmotic injuries, pilon fractures and pediatric ankle fractures. While additional studies may be needed to further support AORIF, it may prove to play a vital role in the future.
使用踝关节镜联合切开复位内固定治疗创伤性踝关节损伤,可以通过治疗关节内病变,在这些损伤的治疗中发挥重要作用,从而改善患者的预后。虽然大多数此类损伤未采用同期关节镜治疗,但增加关节镜检查可能会提供更多预后信息,以指导患者的治疗进程。本文介绍了其在治疗外踝骨折、下胫腓联合损伤、pilon 骨折和儿童踝关节骨折中的应用。虽然可能需要进一步的研究来进一步支持切开复位内固定术,但它可能在未来发挥至关重要的作用。