踝关节骨折的当前概念
Current concepts in ankle fractures.
作者信息
Tansey Patrick J, Chen Jie, Panchbhavi Vinod K
机构信息
Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, 301 University Blvd, Route 0165, Galveston, TX, 77555-0165, USA.
出版信息
J Clin Orthop Trauma. 2023 Oct 16;45:102260. doi: 10.1016/j.jcot.2023.102260. eCollection 2023 Oct.
Abstract
Ankle fractures are among the most common orthopaedic injuries. Operative management is performed in unstable ankle fracture patterns to restore the stability and native kinematics of the ankle mortise and minimize the risk of post-traumatic degenerative changes. In this study, we review current concepts in ankle fracture management, including posterior malleolus fixation, syndesmosis fixation, deltoid ligament repair, fibular nailing, and early weightbearing, from both a biomechanical and clinical perspective.
摘要
踝关节骨折是最常见的骨科损伤之一。对于不稳定的踝关节骨折类型，需进行手术治疗，以恢复踝关节 mortise 的稳定性和正常运动学，并将创伤后退变的风险降至最低。在本研究中，我们从生物力学和临床角度综述了踝关节骨折治疗的当前概念，包括后踝固定、下胫腓联合固定、三角韧带修复、腓骨钉固定和早期负重。
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