闭合性踝关节骨折的诊治现状与进展
《创伤外科杂志》[ISSN:/CN:]
- 期数:
- 2020年12期
- 页码:
- 940-944
- 栏目:
- 综述
- 出版日期:
- 2020-12-20
文章信息/Info
- Title:
- Status and progress in the diagnosis and treatment of closed ankle fracture
- 文章编号:
- 1009-4237(2020)12-0940-05
- Author(s):
- MA Chao; XIE Zeng-ru
- Department of Trauma Orthopedics,The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830011,China
- 分类号:
- R 683
- DOI:
- 10.3969/j.issn.1009-4237.2020.12.014
- 文献标识码:
- A
- 摘要:
- 踝关节骨折是创伤骨科医师最常见的损伤之一。制定踝关节骨折手术固定的方案需要了解关节的骨性和韧带解剖结构以及正常的踝关节生物力学。这些损伤的手术治疗旨在解剖复位、坚强固定以及允许尽快开始关节活动。近几年较受关注的包括外踝骨折、孤立的内踝骨折、三踝骨折中后踝骨折的固定以及踝关节镜的应用。就外踝骨折的治疗而言,锁定钢板能够提供更好的解剖复位; 对于年轻患者效果最好,老年患者更适合髓内固定。内踝骨折由于其较高的不愈合风险以及长期持续移位会导致距骨倾斜,损害踝关节的生物力学,手术治疗可能是一个更好的选择; 全螺纹空心无头加压螺钉固定可能是未来趋势。后踝骨折治疗方案的制定除了要根据骨折块的大小,更重要的是要根据踝关节内关节面是否存在台阶。由于后踝的重要性及其与下胫腓联合的密切联系,后踝骨折的治疗可采取更积极的手段。踝关节镜是一种非常有价值的手术工具,对于关节内骨折的精确诊断和修复均有帮助。
参考文献/References
[1] Court-Brown CM,Caesar B. Epidemiology of adult fractures: a review [J]. Injury,2006,37(8): 691-697.
[2] Kannus P,Palvanen M,Niemi S,et al. Increasing number and incidence of low-trauma ankle fractures in elderly people: finnish statistics during 1970-2000 and projections for the future [J]. Bone,2002,31(3): 430-433.
[3] Daly PJ,Fitzgerald RH,Melton LJ,et al. Epidemiology of ankle fractures in rochester,minnesota [J]. Acta Orthop Scand,1987,58(5): 539-544.
[4] Bengnér U,Johnell O,Redlund-Johnell I. Epidemiology of ankle fracture 1950 and 1980. Increasing incidence in elderly women [J]. Acta Orthop Scand,1986,57(1): 35-37.
[5] Court-Brown CM,Duckworth AD,Clement ND,et al. Fractures in older adults. A view of the future [J]. Injury,2018,49(12): 2161-2166.
[6] Court-Brown CM. Rockwood and Green's fractures in adults [M]. USA: Walters Kluwer,2015.
[7] Elgayar L,Arnall F,Barrie J. A Systematic review investigating the effectiveness of surgical versus conservative management of unstable ankle fractures in adults[J]. J Foot Ankle Surg,2019,58(5): 933-937.
[8] Mcphail SM,Dunstan J,Canning J,et al. Life impact of ankle fractures: qualitative analysis of patient and clinician experiences [J]. BMC Musculoskelet Disord,2012,13(1): 224.
[9] Koval KJ,Zhou W,Sparks MJ,et al. Complications after ankle fracture in elderly patients [J]. Foot Ankle Int,2007,28(12): 1249-1255.
[10] Jehlicka D,Bartonícek J,Svatos F,et al. Fracture-dislocations of the ankle joint in adults. Part I: epidemiologic evaluation of patients during a 1-year period [J]. Acta Chir Orthop Traumatol Cech,2002,69(4): 243-247.
[11] Aiyer AA,Zachwieja EC,Lawrie CM,et al. Management of Isolated lateral malleolus fractures [J]. J Am Acad Orthop Surg,2019,27(2): 50-59.
[12] Michelson JD,Magid D,Mchale K. Clinical utility of a stability-based ankle fracture classification system [J]. J Orthop Trauma,2007,21(5): 307-315.
[13] Sanders DW,Tieszer C,Corbett B. Operative versus nonoperative treatment of unstable lateral malleolar fractures: a randomized multicenter trial [J]. J Orthop Trauma,2012,26(3): 129-134.
[14] Bilgetekin YG,Catma MF,Ozturk A,et al. Comparison of different locking plate fixation methods in lateral malleolus fractures [J]. Foot Ankle Surg,2019,25(3): 366-370.
[15] Challagundla SR,Shewale S,Cree C,et al. Intramedullary fixation of lateral malleolus using fibula rod system in ankle fractures in the elderly [J]. Foot Ankle Surg,2018,24(5): 423-426.
[16] Tas DB,Smeeing DPJ,Emmink BL,et al. Intramedullary fixation versus plate fixation of distal fibular fractures: a systematic review and meta-analysis of randomized controlled trials and observational studies [J]. J Foot Ankle Surg,2019,58(1): 119-126.
[17] Coifman O,Bariteau JT,Shazar N,et al. Lateral malleolus closed reduction and internal fixation with intramedullary fibular rod using minimal invasive approach for the treatment of ankle fractures [J]. Foot Ankle Surg,2019,25(1): 79-83.
[18] Shimozono Y,Hoberman A,Kennedy JG,et al. Arthroscopic anterior talofibular ligament repair with use of a 2-portal technique[J]. JBJS Essent Surg Tech,2019,9(4):e45.1-2.
[19] Diallo J,Wagener J,Schweizer C,et al. Intraoperative findings of lateral ligament avulsion fractures and outcome after refixation to the fibula[J]. Foot Ankle Int,2018,39(6): 669-673.
[20] Herscovici D Jr,Scaduto JM,Infante A.Conservative treatment of isolated fractures of the medial malleolus [J]. J Bone Joint Surg(Br),2007,89(1): 89-93.
[21] Matson AP,Barchick SR,Adams SB.Comparison of open reduction and internal fixation versus closed reduction and percutaneous fixation for medial malleolus fractures[J].J Am Acad Orthop Surg Glob Res Rev,2017,1(8): e048.
[22] Jaffe D,Christian MW,Weber A,et al. Incarceration of the posterior tibial tendon in an isolated comminuted medial malleolus fracture[J]. J Foot Ankle Surg,2017,56(6): 1312-1315.
[23] Angel CK. The rationale behind surgical approaches to ankle fractures [J]. Orthopaedics & Trauma,2018,32(6): 437-445.
[24] Bulut T,Gursoy M. Isolated medial malleolus fractures: conventional techniques versus headless compression screw fixation[J]. J Foot Ankle Surg,2018,57(3): 552-556.
[25] Hanhisuanto S,Kortekangas T,Pakarinen H,et al. The functional outcome and quality of life after treatment of isolated medial malleolar fractures [J]. Foot Ankle Surg,2017,23(4): 225-229.
[26] Kochai A,Türker M,Çiçekli Ö,et al.A comparative study of three commonly used fixation techniques for isolated medial malleolus fracture [J]. Eklem Hastalik Cerrahisi,2018,29(2): 104-109.
[27] Irwin TA,Lien J,Kadakia AR. Posterior malleolus fracture [J]. J Am Acad Orthop Surg,2013,21(1): 32-40.
[28] Bartoníek J,Rammelt S,Tuek M. Posterior malleolar fractures: changing concepts and recent developments [J]. Foot Ankle Clin,2017,22(1): 125-145.
[29] Choi JY,Kim JH,Ko HT,et al. Single oblique posterolateral approach for open reduction and internal fixation of posterior malleolar fractures with an associated lateral malleolar fracture [J]. J Foot Ankle Surg,2015,54(4): 559-564.
[30] Evers J,Barz L,Wähnert D,et al. Size matters: the influence of the posterior fragment on patient outcomes in trimalleolar ankle fractures [J]. Injury,2015,46(S4): S109-S113.
[31] Miller MA,Mcdonald TC,Graves ML,et al. Stability of the syndesmosis after posterior malleolar fracture fixation [J]. Foot Ankle Int,2018,39(1): 99-104.
[32] Schottel PC,Baxter J,Gilbert S,et al. Anatomic ligament repair restores ankle and syndesmotic rotational stability as much as syndesmotic screw fixation [J]. J Orthop Trauma,2016,30(2): e36-40.
[33] Miller AN,Carroll EA,Parker RJ,et al. Posterior malleolar stabilization of syndesmotic injuries is equivalent to screw fixation [J]. Clin Orthop Relat Res,2010,468(4): 1129-1135.
[34] Drijfhout Van Hooff CC,Verhage SM,Hoogendoorn JM. Influence of fragment size and postoperative joint congruency on long-term outcome of posterior malleolar fractures [J]. Foot Ankle Int,2015,36(6): 673-678.
[35] Xu HL,Li X,Zhang DY,et al. A retrospective study of posterior malleolus fractures [J]. Int Orthop,2012,36(9): 1929-1936.
[36] Verhage SM,Hoogendoorn JM,Krijnen P,et al. When and how to operate the posterior malleolus fragment in trimalleolar fractures: a systematic literature review [J]. Arch Orthop Trauma Surg,2018,138(9): 1213-1222.
[37] Verhage SM,Boot F,Schipper IB,et al. Open reduction and internal fixation of posterior malleolar fractures using the posterolateral approach [J]. Bone Joint J,2016,98(6): 812-817.
[38] Kalem M,ahin E,Songür M,et al. Comparison of three posterior malleolar fixation methods in trimalleolar ankle fractures [J]. Acta Orthop Belg,2018,84(2): 203-212.
[39] Oconnor TJ,Mueller B,Ly TV,et al. "A to p" screw versus posterolateral plate for posterior malleolus fixation in trimalleolar ankle fractures [J]. J Orthop Trauma,2015,29(4): e151-156.
[40] 潘子杰,崔翔,朱艳风,等. 后外侧入路在双踝及三踝骨折治疗中的应用 [J]. 中国修复重建外科杂志,2016,30(12): 47-51.
[41] Tenenbaum S,Shazar N,Bruck N,et al. Posterior malleolus fractures [J]. Orthop Clin North(Am),2017,48(1): 81-89.
[42] Stufkens SA,Knupp M,Horisberger M,et al. Cartilage lesions and the development of osteoarthritis after internal fixation of ankle fractures: a prospective study [J]. J Bone Joint Surg Am,2010,92(2): 279-286.
[43] Hong CC,Roy SP,Nashi N,et al. Functional outcome and limitation of sporting activities after bimalleolar and trimalleolar ankle fractures [J]. Foot Ankle Int,2013,34(6): 805-810.
[44] Chen XZ,Chen Y,Liu CG,et al. Arthroscopy-assisted surgery for acute ankle fractures: a systematic review[J]. Arthroscopy,2015,31(11): 2224-2231.
[45] Sherman TI,Casscells N,Rabe J,et al. Ankle arthroscopy for ankle fractures [J]. Arthrosc Tech,2015,4(1): e75-e79.
[46] Hamilton GA,Doyle MD,Castellucci-Garza FM. Arthroscopic-assisted open reduction internal fixation [J]. Clin Podiatr Med Surg,2018,35(2): 199-221.
[47] Braunstein M,Baumbach SF,Urresti-Gundlach M,et al. Arthroscopically assisted treatment of complex ankle fractures: intra-articular findings and 1-year follow-up [J]. J Foot Ankle Surg,2020,59(1): 9-15.
[48] Baumbach SF,Böcker W,Polzer H. Arthroscopically assisted fracture treatment and open reduction of the posterior malleolus: new strategies for management of complex ankle fractures. Video article [J]. Unfallchirurg,2020,123(4): 330-338.
[49] Turhan E,Doral MN,Demirel M,et al. Arthroscopy-assisted reduction versus open reduction in the fixation of medial malleolar fractures [J]. Eur J Orthop Surg Traumatol,2013,23(8): 953-959.
[50] Fuchs DJ,Ho BS,Labelle MW,et al. Effect of arthroscopic evaluation of acute ankle fractures on promis intermediate-term functional outcomes[J]. Foot Ankle Int,2016,37(1): 51-57.
[51] Ackermann J,Fraser EJ,Murawski CD,et al. Trends of concurrent ankle arthroscopy at the time of operative treatment of ankle fracture: a national database review[J]. Foot Ankle Spec,2016,9(2): 107-112.
备注/Memo
- 备注/Memo:
- 【通信作者】 谢增如,E-mail:xiezenru@126.com
