Fibular Malunion

IF 1.5 3区医学 Q3 ORTHOPEDICS

Foot and Ankle Clinics Pub Date : 2023-11-01 DOI:10.1016/j.fcl.2023.10.001

Tim Schepers, Jens A. Halm

引用次数: 0

Abstract

Malunions of the fibula are caused by malreduction during initial surgical management or the result of nonoperative treatment of an unstable ankle fracture. They can cause significant changes in loading of the ankle and subsequently lead to arthritic changes. Timely recognition of abnormal anatomy and corrective osteotomy yields favorable results. The current review addresses the anatomy and biomechanics of the ankle and the effects of a malunited fibula fracture. The radiological workup is discussed as well as the technique of the osteotomy. Last, the authors highlight the expected outcome and possible complications for an optimal informed consent of the patient.

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腓骨的畸形愈合

腓骨畸形愈合是由于最初手术治疗时复位不良或不稳定踝关节骨折的非手术治疗所致。它们会引起踝关节负荷的显著变化，随后导致关节炎的变化。及时发现解剖异常并进行正确的截骨术，效果良好。目前的综述涉及踝关节的解剖和生物力学以及腓骨骨折不愈合的影响。讨论了影像学检查和截骨技术。最后，作者强调了预期的结果和可能的并发症的最佳知情同意的病人。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot and Ankle Clinics ORTHOPEDICS-

CiteScore

2.90

自引率

6.70%

发文量

审稿时长

>12 weeks

期刊介绍： Foot and Ankle Clinics updates you on the latest trends in orthopedic patient management, keeps you up to date on the newest surgical advances, and provides a sound basis for choosing treatment options. Published four times a year—in March, June, September, and December—each issue focuses on a single topic in foot and ankle surgery, from fractures, dislocations, sprains, and amputations, through arthritis, nerve disorders, and congenital deformities. Foot and Ankle Clinics has been edited by Mark S. Myerson, one of the world''s foremost experts on foot and ankle reconstruction and injury, since 1995.