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双侧踝关节三踝骨折:一例罕见病例报告

Trimalleolar Fracture of the Bilateral Ankles: A Rare Case Report.

作者信息

Kale Sahil D, Saurabh Sumit, Jatti Ravi, Kale Sachin, Vatkar Arvind

机构信息

Department of Orthopaedics, KAHER J N Medical College and KLE's Dr. Prabhakar Kore Hospital and MRC, Belagavi, Karnataka, India.

Department of Orthopaedics, DY Patil Hospital and Medical College, Navi Mumbai, Maharashtra, India.

出版信息

J Orthop Case Rep. 2025 May;15(5):119-122. doi: 10.13107/jocr.2025.v15.i05.5578.

Abstract

INTRODUCTION

Ankle fractures are the second most common lower limb fracture after hip fractures. The injuries occur under a variety of conditions such as falls, sports, and road traffic accidents irrespective of age and sex. We report a rare case of trimalleolar fracture of bilateral ankles.

CASE REPORT

A 20-year-old girl came to casualty with an alleged history of falling from height in December 2023. After which she sustained injuries over her both ankle joints with no history of any head injury. The patient was examined clinically and radiologically. She was diagnosed with a bilateral trimalleolar fracture. The patient underwent bilateral open reduction and internal fixation of the ankle fractures. The procedures were performed sequentially in a staged procedure. The postoperatively patient was followed up for 1 year.

CONCLUSION

This case highlights the management and outcome of bilateral ankle trimalleolar fractures, which is one of the rare cases, following a traumatic fall. Multidisciplinary care is essential for achieving optimal outcomes and ensuring an early return to function for patients with such injuries.

摘要

引言

踝关节骨折是仅次于髋部骨折的第二常见下肢骨折。此类损伤在各种情况下均可发生,如跌倒、运动和道路交通事故,与年龄和性别无关。我们报告一例罕见的双侧三踝骨折病例。

病例报告

一名20岁女孩于2023年12月因据称从高处坠落前来急诊。此后,她双侧踝关节受伤,无头部受伤史。对该患者进行了临床和放射学检查。她被诊断为双侧三踝骨折。患者接受了双侧踝关节骨折切开复位内固定术。手术分阶段依次进行。术后对患者进行了1年的随访。

结论

本病例突出了双侧踝关节三踝骨折的治疗及结果,这是创伤性跌倒后罕见的病例之一。多学科护理对于实现最佳治疗效果以及确保此类损伤患者早日恢复功能至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7db/12064261/9c6c2f6dbaa2/JOCR-15-119-g001.jpg

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