Reber P, Hess R, Noesberger B
Abteilung für Traumatologie und Orthopädie, Regionalspital Interlaken.
Unfallchirurg. 1994 Oct;97(10):530-3.
Fractures of the ankle in adults are very common. Like every intraarticular fracture, they require perfect reduction and stable fixation to guarantee a good result. In most cases this can only be achieved by open treatment. The classification of ankle fractures according to Weber depends upon whether the fibular fracture is below (type A) at (type B) or above (type C) the syndesmosis. This classification also defines the importance of the tibio-fibular ligaments. From 1978 to 1992 more than 1000 ankle fractures were treated in our clinic by open reduction and fixation: 72 were type C ankle fractures, and the rest, either type A or type B fractures. When we reviewed our type C fractures we found 9 patients with so-called atypical type C fractures; these have an atypical fracture pattern insofar as a fracture of the medial malleolus is combined with tibiofibular ligament lesion and there is no fibula fracture. Definition, diagnosis, treatment and results are presented in this publication.
成人踝关节骨折非常常见。与所有关节内骨折一样，它们需要完美复位和稳定固定以确保良好的治疗效果。在大多数情况下，这只能通过切开治疗来实现。根据Weber对踝关节骨折的分类取决于腓骨骨折是在胫腓联合以下（A型）、处于胫腓联合水平（B型）还是在胫腓联合以上（C型）。这种分类也明确了胫腓韧带的重要性。1978年至1992年，我们诊所通过切开复位内固定治疗了1000多例踝关节骨折：其中72例为C型踝关节骨折，其余为A型或B型骨折。当我们回顾C型骨折时，发现有9例所谓的非典型C型骨折；这些骨折具有非典型的骨折模式，即内踝骨折合并胫腓韧带损伤且无腓骨骨折。本文介绍了其定义、诊断、治疗方法及结果。
