Riegels-Nielsen P, Christensen J, Greiff J
Injury. 1983 Jan;14(4):357-60. doi: 10.1016/0020-1383(83)90257-7.
In 5 cadavers, type C malleolar fractures of the pronation-eversion rotation type, were produced. The stability of the ankle mortice under stress was tested before and after rigid internal fixation of the fracture in the fibula. The intact interosseous membrane above the fracture in combination with the internal fixation of the fibula was sufficient to keep the lateral malleolus in place. A clinical series of 8 equivalent fractures treated with rigid internal fixation without suture of the syndesmodesis was collected and evaluated clinically and radiologically 3 years after the injury. None of the patients had significant complaints and all ankle joints were stable.
在5具尸体上制造旋前-外旋型C型踝关节骨折。在对腓骨骨折进行坚强内固定前后，测试应力下踝关节 mortice的稳定性。骨折上方完整的骨间膜与腓骨内固定相结合足以使外踝保持在原位。收集了一组8例接受坚强内固定且未缝合下胫腓联合的类似骨折的临床病例，并在受伤3年后进行了临床和影像学评估。所有患者均无明显不适，所有踝关节均稳定。
