Wondrák E, Holý A
Zentralbl Chir. 1976;101(19):1172-7.
Even severely dislocated ankle joint fractures can be fixed in the right position and healed by immediate reposition. Irreponible fractures, ruptures of the syndesmosis, shortening of the fibula and abruptions of tibial edges require timely operative treatment with osteosynthesis, the individual forms of which are demonstrated. The screws fixing the syndesmosis must be removed in time in order to prevent their loosening or breaking. Fixations in hypercorrective position have proved to be unphysiological. Walking plaster, however, are better than training with crutches without the possibility of loading. The combination of osteosynthesis and walking plaster will contribute to the development of an early self-sufficiency on the part of the operated patient.
即使是严重脱位的踝关节骨折，通过立即复位也可固定在正确位置并愈合。不可复位的骨折、下胫腓联合韧带断裂、腓骨缩短以及胫骨边缘断裂需要及时进行骨固定手术治疗，并展示了其各种具体形式。固定下胫腓联合的螺钉必须及时取出，以防止其松动或断裂。过度矫正位置的固定已被证明不符合生理要求。然而，行走石膏比使用拐杖训练且无法负重更好。骨固定与行走石膏相结合将有助于促进手术患者早日实现自理。
