absence of a medial malleolar fracture (fig. 3c) denotes that this supination-adduction injury stopped at stage i.
未出现内踝骨折(图。3c)表明这一旋后内收损伤停止于i度。
subsequently, the medial structures fail, resulting in a medial malleolar fracture or deltoid ligament tear (fig. 4a).
随后,发生内侧结构损伤,导致内踝骨折或三角韧带撕裂(图。4a)。
intervention: all but 2 patients underwent open reduction and internal fixation of the posterior malleolar fracture using a single posteromedial approach.
干预措施:除2名患者外,对所有患者的后踝骨折块采用后内侧切口进行切开复位内固定;
the short oblique fibular fracture is high and the medial malleolar fracture is transverse.
腓骨短斜形骨折高位,内踝骨折为横行。
the presence of a medial malleolar fracture (fig. 4d), establishes this to be a complete injury, a supination-lateral rotation stage iv.
内踝骨折的出现(图。4d)表明这是一个完全损伤,即旋后外旋iv度。
a posterior malleolar fracture is seen on the lateral projection (fig. 6b), establishing a complete (stage iv) injury.
在侧位相上可见后踝骨折(图。6b),表明其为完全损伤(iv度)。
results ?posterior malleolar fracture was more stable in dorsiflexion-neutral position than in dorsiflexion-varus position or dorsiflexion-ecstrophy position.
结果后踝骨折背伸中立位比背伸内翻位及背伸外翻位固定稳定。
subsequent assessment for medial malleolar fracture and then posterior malleolar fracture defines the stage of completeness of the injury and localizes the sites of ligamentous disruption.
对于内踝和后踝骨折的进一步评估可确定损伤的完整分期以及韧带断裂的位置。