Stability in ankle fractures: diagnosis and treatment

被引:56
作者
Lampridis, Vasileios [1 ]
Gougoulias, Nikolaos [1 ]
Sakellariou, Anthony [1 ]
机构
[1] Frimley Pk Hosp, Frimley, England
来源
EFORT OPEN REVIEWS | 2018年 / 3卷 / 05期
关键词
stability; ankle fractures; treatment; posterior malleolus; POSTERIOR MALLEOLAR FRACTURES; DISTAL FIBULAR FRACTURES; EXTERNAL ROTATION FRACTURES; LAUGE-HANSEN CLASSIFICATION; GRAVITY STRESS RADIOGRAPHS; SCREW FIXATION; WEIGHTBEARING RADIOGRAPHS; OSTEOPOROTIC BONE; LATERAL MALLEOLUS; SYNDESMOTIC SCREW;
D O I
10.1302/2058-5241.3.170057
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
Medial column (deltoid ligament) integrity is of key importance when considering the stability of isolated lateral malleolus ankle fractures. Weight-bearing radiographs are the best method of evaluating stability of isolated distal fibula fractures. Computed tomography (CT) scanning is mandatory for the assessment of complex ankle fractures, especially those involving the posterior malleolus. Most isolated trans-syndesmotic fibular fractures (Weber-B, SER, AO 44-B) are stable and can safely be treated non-operatively. Posterior malleolus fractures, regardless of size, should be considered for surgical fixation to restore stability, reduce the need for syndesmosis fixation, and improve contact pressure distribution.
引用
收藏
页码:294 / 303
页数:10
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