Chojnacki D J, Wertheimer S
J Foot Surg. 1983 Spring;22(1):69-72.
The principle of tension band wiring in open reduction and internal fixation of malleolar fractures is presented in three case reports. A brief history of the classification of ankle fractures is given so that the mechanism of injury can be understood. This must be known when attempts at closed or open reduction and immobilization are done. If closed reduction fails to bring about good anatomical reduction and alignment, the fracture must be openly reduced and internally fixated. The chief indications for tension band wiring are given, and their application in treating ankle fractures.
在三例病例报告中介绍了踝关节骨折切开复位内固定术中张力带钢丝固定的原则。给出了踝关节骨折分类的简要历史,以便理解损伤机制。在进行闭合或切开复位及固定时必须了解这一点。如果闭合复位未能实现良好的解剖复位和对线,则必须对骨折进行切开复位和内固定。给出了张力带钢丝固定的主要适应证及其在治疗踝关节骨折中的应用。