Fibula fractures management

被引：15

作者：

Canton, Gianluca ^{[1
]}

Sborgia, Andrea ^{[1
]}

Maritan, Guido ^{[1
]}

Fattori, Roberto ^{[1
]}

Roman, Federico ^{[1
]}

Tomic, Marko ^{[1
]}

Morandi, Massimo Max ^{[2
]}

Murena, Luigi ^{[1
]}

机构：

[1] Trieste Univ, Orthopaed & Traumatol Unit, Dept Med Surg & Life Sci, 447 Str Fiume, I-34149 Trieste, Italy

[2] Louisiana State Univ, Dept Orthopaed Surg, Hlth Sci Ctr, Shreveport, LA 71103 USA

来源：

WORLD JOURNAL OF ORTHOPEDICS | 2021年 / 12卷 / 05期

关键词：

Fibula fracture; Lateral malleolus; Distal fibula; Management; Treatment; Ankle; LATERAL MALLEOLAR FRACTURES; BIMALLEOLAR ANKLE FRACTURES; INTERNAL-FIXATION; DELTOID LIGAMENT; DISTAL FIBULA; RISK-FACTORS; FOLLOW-UP; WEIGHTBEARING RADIOGRAPHS; STABILITY ASSESSMENT; OPERATIVE TREATMENT;

D O I：

10.5312/wjo.v12.i5.254

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Isolated distal fibula fractures represent the majority of ankle fractures. These fractures are often the result of a low-energy trauma with external rotation and supination mechanism. Diagnosis is based on clinical signs and radiographic exam. Stress X-rays have a role in detecting associated mortise instability. Management depends on fracture type, displacement and associated ankle instability. For simple, minimally displaced fractures without ankle instability, conservative treatment leads to excellent results. Conservative treatment must also be considered in overaged unhealthy patients, even in unstable fractures. Surgical treatment is indicated when fracture or ankle instability are present, with several techniques described. Outcome is excellent in most cases. Complications regarding wound healing are frequent, especially with plate fixation, whereas other complications are uncommon.

引用

页码：254 / 269

页数：16

共 122 条

[1] Management of Isolated Lateral Malleolus Fractures [J].