Chau Ming Hong, Liu Ka Ki Stephanie
Department of Orthopaedics & Traumatology, Princess Margaret Hospital, Hong Kong SAR.
Trauma Case Rep. 2025 Apr 18;57:101173. doi: 10.1016/j.tcr.2025.101173. eCollection 2025 May.
We describe the case of a 61-year-old Chinese female who presented with a closed quadrimalleolar ankle fracture subluxation with avulsion fracture of anterolateral tibial rim along with disruption of the syndesmosis. The fibula fracture was fixed under minimally invasive approach with a fibula nail and the anterior-inferior tibiofibular ligament (AITFL) was repaired arthroscopically, together with fixation of the medial malleolus fracture. This is the first reported case in which a similar technique was used. At the 3-month follow-up, the fracture has healed completely with good cosmetic and clinical outcome.
我们描述了一名61岁中国女性的病例，该患者出现闭合性四踝骨折半脱位，伴有胫骨前缘外侧撕脱骨折以及下胫腓联合损伤。采用微创方法用腓骨钉固定腓骨骨折，并在关节镜下修复下胫腓前韧带（AITFL），同时固定内踝骨折。这是首次报道使用类似技术的病例。在3个月的随访中，骨折已完全愈合，外观和临床效果良好。
