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核心技术专利：CN118964589B侵权必究

核心技术专利：CN118964589B侵权必究

Mast J W, Teipner W A

Orthop Clin North Am. 1980 Jul;11(3):661-79.

Open treatment of ankle fractures is discussed. 2. It is our opinion that operative treatment affords the most predictable way to carry out an absolutely anatomic reduction of the fractures. In addition, the joint may be inspected, cartilage damage documented, and loose fragments removed. 3. A logical method of fixation has been discussed. It is stressed that the fibula should be fixed anatomically first and then associated instabilities corrected. 4. A series of cases with a relatively short follow-up period has been presented showing excellent results and a low complication rate when this approach is used. 5. The recommendation for open reduction of S-ER II fractures has been made. 6. It has been suggested that the deltoid ligament does not need to be repaired when fibular reduction is anatomic and fixation is stable. 7. Syndesmosis screws are rarely indicated, except in high C fractures when corrected by indirect methods.

讨论了踝关节骨折的切开治疗。2. 我们认为，手术治疗为实现骨折的绝对解剖复位提供了最可预测的方法。此外，可检查关节，记录软骨损伤情况，并清除游离碎片。3. 讨论了一种合理的固定方法。强调应先对腓骨进行解剖固定，然后纠正相关的不稳定情况。4. 呈现了一系列随访期相对较短的病例，结果显示采用这种方法时效果极佳且并发症发生率低。5. 已提出对旋后-外旋型II度骨折进行切开复位的建议。6. 有人提出，当腓骨复位达到解剖复位且固定稳定时，三角韧带无需修复。7. 下胫腓联合螺钉很少使用，除非在通过间接方法矫正的高位C型骨折中。

Mast J W, Teipner W A

Orthop Clin North Am. 1980 Jul;11(3):661-79.

Open treatment of ankle fractures is discussed. 2. It is our opinion that operative treatment affords the most predictable way to carry out an absolutely anatomic reduction of the fractures. In addition, the joint may be inspected, cartilage damage documented, and loose fragments removed. 3. A logical method of fixation has been discussed. It is stressed that the fibula should be fixed anatomically first and then associated instabilities corrected. 4. A series of cases with a relatively short follow-up period has been presented showing excellent results and a low complication rate when this approach is used. 5. The recommendation for open reduction of S-ER II fractures has been made. 6. It has been suggested that the deltoid ligament does not need to be repaired when fibular reduction is anatomic and fixation is stable. 7. Syndesmosis screws are rarely indicated, except in high C fractures when corrected by indirect methods.

讨论了踝关节骨折的切开治疗。2. 我们认为，手术治疗为实现骨折的绝对解剖复位提供了最可预测的方法。此外，可检查关节，记录软骨损伤情况，并清除游离碎片。3. 讨论了一种合理的固定方法。强调应先对腓骨进行解剖固定，然后纠正相关的不稳定情况。4. 呈现了一系列随访期相对较短的病例，结果显示采用这种方法时效果极佳且并发症发生率低。5. 已提出对旋后-外旋型II度骨折进行切开复位的建议。6. 有人提出，当腓骨复位达到解剖复位且固定稳定时，三角韧带无需修复。7. 下胫腓联合螺钉很少使用，除非在通过间接方法矫正的高位C型骨折中。