踝关节骨折的稳定性评估与治疗的研究进展  

Research progress in the stability evaluation and treatment of ankle fracture

作　　者：王诚 施忠民[1] Wang Cheng;Shi Zhongmin(Department of Orthopedics,Sixth People′s Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200233,China)

机构地区：[1]上海交通大学附属第六人民医院骨科,上海200233

出　　处：《中华创伤杂志》2022年第10期931-937,共7页Chinese Journal of Trauma

基　　金：上海交通大学“交大之星”计划医工交叉研究基金(YG2022ZD018);科技部国家重点研发计划(2018YFC2001504);上海市人工智能创新发展专项(2020⁃RGZN⁃02006);上海市“科技创新行动计划”生物医药领域科技支撑项目(19441902400)。

摘　　要：踝关节骨折是由直接或间接暴力导致的胫腓骨远端完整性破坏和连续性中断,常合并韧带等软组织损伤,在诊治过程中因损伤隐匿或经验不足容易被忽视,常导致预后不佳。现有分型有时难以对临床决策提供指导,故基于稳定性标准的踝关节骨折分型应运而生。不稳定踝关节骨折处理不当会导致功能丢失和创伤性关节炎等严重并发症,需要结合具体损伤进行个体化治疗。笔者就踝关节骨折稳定性的含义、解剖结构、影像学评估,以及基于稳定性分型的踝关节骨折治疗等研究进展进行综述,为踝关节骨折的稳定性评估与治疗提供新思路。Ankle fracture is caused by direct or indirect violence to the integrity and continuity of the distal tibia and/or fibula,often associated with ligament and other soft tissue injuries.However,ankle fracture can be easily overlooked during diagnosis and treatment due to hidden injuries or lack of experience,often resulting in poor prognosis.The existing classifications are sometimes difficult to provide guidances for clinical decision making,so the classification of ankle fracture based on stability criteria comes into being.Improper management of unstable ankle fracture can lead to serious complications such as loss of function and traumatic arthritis,requiring individualized treatment based on the specific injury.The authors review the concept,anatomy and imageological evaluation of ankle fracture stability as well as its treatment based on stability classification,so as to provide new ideas for the stability evaluation and treatment of ankle fracture.

关 键 词：踝关节 骨折 关节不稳定性 韧带损伤 

分 类 号：R683.4[医药卫生—骨科学]