Advances and disputes of posterior malleolus fracture / 中华医学杂志(英文版)
Chinese Medical Journal
;
(24): 3972-3977, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-236128
ABSTRACT
<p><b>OBJECTIVE</b>The objective of this article is to summarize the development of evaluation and treatment of posterior malleolus fracture (PMF).</p><p><b>DATA SOURCES</b>Data used in this review were mainly from English literature of PubMed data base. Study selection Articles were included in this review if they were related to the PMF or trimalleolar fracture.</p><p><b>RESULTS</b>No consensus was found regarding what sizes of posterior malleolus fragments would lead to ankle instability thus affecting prognosis and should be fixed. X-ray measurement is unreliable, while CT scan is widely recommended and it can recognize the occult posterior malleolus fractures associated with tibia shaft fractures, which are always undetected previously. Direct posterior malleolus fixation is suitable to stabilize syndesmotic injury. The basic and clinical researches support direct reduction and buttress plate fixation of posterior malleolus fracture through the posterolateral approach. Operative indications and timing of weight bearing are still in discussion.</p><p><b>CONCLUSIONS</b>Knowing whether ankle instability occurs and the proper methods to diagnose, evaluate, and operate can help manage the fracture. Further biomechanical research on ankle stability and clinical study to compare various treatment methods are required.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Fraturas da Tíbia
/
Traumatismos do Tornozelo
/
Procedimentos Ortopédicos
/
Fraturas Ósseas
/
Métodos
Limite:
Humanos
Idioma:
Inglês
Revista:
Chinese Medical Journal
Ano de publicação:
2013
Tipo de documento:
Artigo
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