Rozhl Chir. 2023;102(12):444-452. doi: 10.33699/PIS.2023.102.12.444-452.
Bosworth fracture (BF) is a rare, but a severe injury to the ankle, characterized by displacement of a fragment of the fractured fibula (mostly of Weber B type) from the tibiofibular incisure to the posterior surface of the distal tibia. In 70% of cases, it is associated with a fracture of the posterior malleolus. This injury is not quite well known, with only 175 cases described in the literature to date. BF requires CT examination, including 3D reconstructions. Closed reduction almost always fails as there is an increased risk of compartment syndrome, mainly after repeated attempts at closed reduction. Therefore, operative treatment is indicated as a standard. The outcome of the operation should be always checked by postoperative CT examination.
博斯沃思骨折（BF）是一种罕见但严重的踝关节损伤，其特征是骨折的腓骨（主要为 Weber B 型）碎片从胫腓切迹移位到胫骨远端的后表面。在 70%的病例中，它与后踝骨折有关。这种损伤并不是很常见，迄今为止文献中仅描述了 175 例。BF 需要 CT 检查，包括 3D 重建。闭合复位几乎总是失败，因为有增加的间隔综合征风险，主要是在反复尝试闭合复位后。因此，手术治疗是标准的。术后 CT 检查应始终检查手术结果。
