Georgiadis G M, Ebraheim N A, Hoeflinger M J
Department of Orthopaedic Surgery, Medical College of Ohio, Toledo.
J Trauma. 1996 Dec;41(6):1056-8. doi: 10.1097/00005373-199612000-00022.
We report on four adult patients in whom intramedullary nailing of external rotation tibial shaft fractures resulted in significant intra-articular displacement of the posterior malleolus that required further operative fixation. An ankle injury was not recognized preoperatively in any case. Intramedullary nailing of certain tibial shaft fractures may be at risk for displacement of the posterior malleolus. The ankle joint should be examined very carefully not only preoperatively, but also intraoperatively in these cases.
我们报告了4例成年患者，他们因外旋型胫骨干骨折接受髓内钉固定后，后踝出现明显的关节内移位，需要进一步手术固定。所有病例术前均未发现踝关节损伤。某些胫骨干骨折进行髓内钉固定时，后踝可能有移位风险。在这些病例中，不仅术前，而且术中都应非常仔细地检查踝关节。
