足踝部创伤的研究进展
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摘要
足踝部创伤临床种类繁多,常见的创伤类型主要包括踝关节骨折、Pilon骨折、距骨骨折、跟骨骨折、中足骨折脱位及跟腱断裂等,结合丰富的影像学辅助检查和临床查体,明确诊断并不困难。解剖复位、坚强内固定、早期功能锻炼是足踝部创伤的治疗原则,但在具体固定方式、手术时机、康复训练等方面仍存在许多争议,本文回顾分析了近30年足踝部创伤相关文献,并分别对目前存在争议的部分进行阐述。
There are many types of foot and ankle trauma clinically. Commonly, there are ankle fractures, Pilon fractures, talus fractures, calcaneal fractures, mid foot fractures and dislocations, and Achilles tendon ruptures. Diagnosis is easy with radiography and physical examination. The principles of the treatment of foot and ankle trauma are anatomic reduction, strong internal fixation, and early functional exercise. However, there are still many controversies in terms of specific fixation methods, fixed time, and functional exercises. This article reviews the literature on foot and ankle trauma in recent 30 years, and elaborate on the parts that are still in dispute.
There are many types of foot and ankle trauma clinically. Commonly, there are ankle fractures, Pilon fractures, talus fractures, calcaneal fractures, mid foot fractures and dislocations, and Achilles tendon ruptures. Diagnosis is easy with radiography and physical examination. The principles of the treatment of foot and ankle trauma are anatomic reduction, strong internal fixation, and early functional exercise. However, there are still many controversies in terms of specific fixation methods, fixed time, and functional exercises. This article reviews the literature on foot and ankle trauma in recent 30 years, and elaborate on the parts that are still in dispute.
引文
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[3]Weening B,Bhandari M.Predictors of functional outcome following transsyndesmotic screw fixation of ankle fractures[J].J Orthop Trauma,2005,19(2):102-108.
[4]Thompson MC,Gesink DS.Biomechanical comparison of syndesmosis fixation with 3.5-and 4.5-millimeter stainless steel screws[J].Foot Ankle Int,2000,21(9):736-741.
[5]Kukreti S,Faraj A,Miles JN.Does position of syndesmotic screw affect functional and radiological outcome in ankle fractures?[J].Injury,2005,36(9):1121-1124.
[6]Wikeroy AK,Hoiness PR,Andreassen GS,et al.No difference in functional and radiographic results 8.4 years after quadricortical compared with tricortical syndesmosis fixation in ankle fractures[J].J Orthop Trauma,2010,24(1):17-23.
[7]Tornetta PR,Spoo JE,Reynolds FA,et al.Overtightening of the ankle syndesmosis:is it really possible?[J].J Bone Joint Surg Am,2001,83-A(4):489-492.
[8]Yu BF,Wang W,Lin XP.[Treatment of tibiofibular syndesmosis together with ankle fracture using cortical screw][J].Zhongguo Gu Shang,2015,28(7):663-665.
[9]Schepers T.Acute distal tibiofibular syndesmosis injury:a systematic review of suture-button versus syndesmotic screw repair[J].Int Orthop,2012,36(6):1199-1206.
[10]Morellato J,Louati H,Bodrogi A,et al.The Effect of Varying Tension of a Suture Button Construct in Fixation of the Tibiofibular Syndesmosis-Evaluation Using Stress Computed Tomography[J].J Orthop Trauma,2017,31(2):103-110.
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[27]Chan KB,Lui TH.Role of Ankle Arthroscopy in Management of Acute Ankle Fracture[J].Arthroscopy,2016,32(11):2373-2380.
[28]Tadeusiewicz J,Nowak P.[The role of post-translational modification of fibrinogen in the pathogenesis of thrombosis][J].Pol Merkur Lekarski,2015,38(224):107-112.
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[33]Tang X,Liu L,Tu CQ,et al.Comparison of Early and Delayed Open Reduction and Internal Fixation for Treating Closed Tibial Pilon Fractures[J].Foot Ankle Int,2014,35(7):657-664.
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[36]Lomax A,Singh A,N Jane M,et al.Complications and early results after operative fixation of 68 pilon fractures of the distal tibia[J].Scott Med J,2015,60(2):79-84.
[37]El-Mowafi H,El-Hawary A,Kandil Y.The management of tibial pilon fractures with the Ilizarov fixator:The role of ankle arthroscopy[J].Foot(Edinb),2015,25(4):238-243.
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[2]den Daas A,van Zuuren WJ,Pelet S,et al.Flexible stabili zation of the distal tibiofibular syndesmosis:clinical and biomechanical considerations:a review of the literature[J].Strategies Trauma Limb Reconstr,2012,7(3):123-129.
[3]Weening B,Bhandari M.Predictors of functional outcome following transsyndesmotic screw fixation of ankle fractures[J].J Orthop Trauma,2005,19(2):102-108.
[4]Thompson MC,Gesink DS.Biomechanical comparison of syndesmosis fixation with 3.5-and 4.5-millimeter stainless steel screws[J].Foot Ankle Int,2000,21(9):736-741.
[5]Kukreti S,Faraj A,Miles JN.Does position of syndesmotic screw affect functional and radiological outcome in ankle fractures?[J].Injury,2005,36(9):1121-1124.
[6]Wikeroy AK,Hoiness PR,Andreassen GS,et al.No difference in functional and radiographic results 8.4 years after quadricortical compared with tricortical syndesmosis fixation in ankle fractures[J].J Orthop Trauma,2010,24(1):17-23.
[7]Tornetta PR,Spoo JE,Reynolds FA,et al.Overtightening of the ankle syndesmosis:is it really possible?[J].J Bone Joint Surg Am,2001,83-A(4):489-492.
[8]Yu BF,Wang W,Lin XP.[Treatment of tibiofibular syndesmosis together with ankle fracture using cortical screw][J].Zhongguo Gu Shang,2015,28(7):663-665.
[9]Schepers T.Acute distal tibiofibular syndesmosis injury:a systematic review of suture-button versus syndesmotic screw repair[J].Int Orthop,2012,36(6):1199-1206.
[10]Morellato J,Louati H,Bodrogi A,et al.The Effect of Varying Tension of a Suture Button Construct in Fixation of the Tibiofibular Syndesmosis-Evaluation Using Stress Computed Tomography[J].J Orthop Trauma,2017,31(2):103-110.
[11]Anand A,Wei R,Patel A,et al.Tightrope fixation of syndesmotic injuries in Weber C ankle fractures:a multicentre case series[J].Eur J Orthop Surg Traumatol,2017,27(4):461-467.
[12]Gardner MJ,Graves ML,Higgins TF,et al.Technical Considerations in the Treatment of Syndesmotic Injuries Associated With Ankle Fractures[J].J Am Acad Orthop Surg,2015,23(8):510-518.
[13]Court-Brown CM,Mc Birnie J,Wilson G.Adult ankle fractures--an increasing problem?[J].Acta Orthop Scand,1998,69(1):43-47.
[14]Gonzalez O,Fleming JJ,Meyr AJ.Radiographic assessment of posterior malleolar ankle fractures[J].J Foot Ankle Surg,2015,54(3):365-369.
[15]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.
[16]Donken CC,Goorden AJ,Verhofstad MH,et al.The outcome at20 years of conservatively treated'isolated'posterior malleolar fractures of the ankle:a case series[J].J Bone Joint Surg Br,2011,93(12):1621-1625.
[17]Xu HL,Li X,Zhang DY,et al.A retrospective study of posterior malleolus fractures[J].Int Orthop,2012,36(9):1929-1936.
[18]Bartonicek J,Rammelt S,Kostlivy K,et al.Anatomy and classification of the posterior tibial fragment in ankle fractures[J].Arch Orthop Trauma Surg,2015,135(4):505-516.
[19]Little MT,Berkes MB,Lazaro LE,et al.Complications following treatment of supination external rotation ankle fractu res through the posterolateral approach[J].Foot Ankle Int,2013,34(4):523-529.
[20]Klammer G,Kadakia AR,Joos DA,et al.Posterior pilon fractures:a retrospective case series and proposed classification system[J].Foot Ankle Int,2013,34(2):189-199.
[21]Bartoní?ek J,Rammelt S,Tu?ek M,et al.Posterior malleolar fractures of the ankle[J].Eur J Trauma Emerg Surg,2015,41(6):587-600.
[22]O'Connor 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-e156.
[23]Erdem MN,Erken HY,Burc H,et al.Comparison of lag screw versus buttress plate fixation of posterior malleolar fractures[J].Foot Ankle Int,2014,35(10):1022-1030.
[24]Klammer G,Kadakia AR,Joos DA,et al.Posterior pilon fractures:a retrospective case series and proposed classification system[J].Foot Ankle Int,2013,34(2):189-199.
[25]Wang L,Shi ZM,Zhang CQ,et al.Trimalleolar fracture with involvement of the entire posterior plafond[J].Foot Ankle Int,2011,32(8):774-781.
[26]Crim JR,Beals TC,Nickisch F,et al.Deltoid ligament abnormalities in chronic lateral ankle instability[J].Foot Ankle Int,2011,32(9):873-878.
[27]Chan KB,Lui TH.Role of Ankle Arthroscopy in Management of Acute Ankle Fracture[J].Arthroscopy,2016,32(11):2373-2380.
[28]Tadeusiewicz J,Nowak P.[The role of post-translational modification of fibrinogen in the pathogenesis of thrombosis][J].Pol Merkur Lekarski,2015,38(224):107-112.
[29]Crim JR,Beals TC,Nickisch F,et al.Deltoid ligament abnormalities in chronic lateral ankle instability[J].Foot Ankle Int,2011,32(9):873-878.
[30]Bone L,Stegemann P,Mc Namara K,et al.External fixation of severely comminuted and open tibial pilon fractures[J].Clin Orthop Relat Res,1993,(292):101-107.
[31]Jacob N,Amin A,Giotakis N,et al.Management of highenergy tibial pilon fractures[J].Strategies Trauma Limb Reconstr,2015,10(3):137-147.
[32]Huebner E J,Iblher N,Kubosch DC,et al.Distal tibial fractures and pilon fractures[J].Acta Chir Orthop Traumatol Cech,2014,81(3):167-176.
[33]Tang X,Liu L,Tu CQ,et al.Comparison of Early and Delayed Open Reduction and Internal Fixation for Treating Closed Tibial Pilon Fractures[J].Foot Ankle Int,2014,35(7):657-664.
[34]Ketz J,Sanders R.Staged posterior tibial plating for the treatment of Orthopaedic Trauma Association 43C2 and 43C3 tibial pilon fractures[J].J Orthop Trauma,2012,26(6):341-347.
[35]Bulbul M,Kuyucu E,Say F,et al.Hybrid external fixation via a minimally invasive method for tibial pilon fractures-Technical note[J].Ann Med Surg(Lond),2015,4(4):341-345.
[36]Lomax A,Singh A,N Jane M,et al.Complications and early results after operative fixation of 68 pilon fractures of the distal tibia[J].Scott Med J,2015,60(2):79-84.
[37]El-Mowafi H,El-Hawary A,Kandil Y.The management of tibial pilon fractures with the Ilizarov fixator:The role of ankle arthroscopy[J].Foot(Edinb),2015,25(4):238-243.
[38]Milenkovic S,Mitkovic M,Micic I,et al.Distal tibial pilon fractures(AO/OTA type B,and C)treated with the external skeletal and minimal internal fixation method[J].Vojnosanit Pregl,2013,70(9):836-841.
[39]Liporace FA,Mehta S,Rhorer AS,et al.Staged treatment and associated complications of pilon fractures[J].Instr Course Lect,2012,61:53-70.
[40]Santavirta S,Seitsalo S,Kiviluoto O,et al.Fractures of the talus[J].J Trauma,1984,24(11):986-989.
[41]Vallier HA.Fractures of the Talus:State of the Art[J].J Orthop Trauma,2015,29(9):385-392.
[42]Mulfinger GL,Trueta J.The blood supply of the talus[J].JBone Joint Surg Br,1970,52(1):160-167.
[43]Elgafy H,Ebraheim NA,Tile M,et al.Fractures of the talus:experience of two level 1 trauma centers[J].Foot Ankle Int,2000,21(12):1023-1029.
[44]Hawkins LG.Fractures of the neck of the talus[J].J Bone Joint Surg Am,1970,52(5):991-1002.
[45]Canale ST,Kelly FJ.Fractures of the neck of the talus.Longterm evaluation of seventy-one cases[J].J Bone Joint Surg Am,1978,60(2):143-156.
[46]Lindvall E,Haidukewych G,Di Pasquale T,et al.Open reduction and stable fixation of isolated,displaced talar neck and body fractures[J].J Bone Joint Surg Am,2004,86-A(10):2229-2234.
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