Bauer M, Jonsson K, Nilsson B
Acta Orthop Scand. 1985 Apr;56(2):103-6. doi: 10.3109/17453678508994329.
The natural course of ankle fractures was studied in 143 patients treated by closed methods. The average time elapsing from fracture to follow-up was 29 years. Eighty-two per cent had no radiographic signs of arthrosis; 83 per cent were free of symptoms. The most common fracture, supination eversion Stage II (49 cases), gave rise to minimal signs of arthrosis in only one patient, who had moderate symptoms. The suggestion that all ankle fractures must be perfectly reduced is not supported by the findings of the present study.
对143例采用闭合方法治疗的踝关节骨折患者的自然病程进行了研究。从骨折到随访的平均时间为29年。82%的患者没有关节病的影像学征象；83%的患者没有症状。最常见的骨折类型，旋后外旋II期（49例），仅1例出现轻微关节病征象，该患者有中度症状。本研究结果不支持所有踝关节骨折都必须完美复位的观点。
