Vécsei V, Hofbauer F, Roka R, Wagner M
Unfallchirurgie. 1982 Feb;8(1):48-64. doi: 10.1007/BF02585792.
By means of 796 fractures of the upper ankle-joint, the treatment and results of the therapy according to the conservative-viewpoints are going to be discussed. Comparing the results after operative treatment, conservative therapy today is only justified with fractures of th type A and B under the presumption that there is no subluxation of the talus of the latter mentioned. Bimalleolar fractures of the type A can also be treated conservatively with good results if the inner-ankle fracture has not resulted in the destruction of the ankle-fork. All other fractures should have open reduction and internal fixation. Special attention shall be paid to the reconstruction of the complex fibula-syndesmosis.
通过796例踝关节上部骨折，将探讨基于保守观点的治疗方法及治疗结果。与手术治疗后的结果相比，如今保守治疗仅适用于A型和B型骨折，前提是后者不存在距骨半脱位。如果内踝骨折未导致踝关节叉破坏，A型双踝骨折也可采用保守治疗，效果良好。所有其他骨折均应进行切开复位内固定。应特别注意重建复杂的腓骨联合。
