Gãy xương mắt cá chân là phổ biến Trong số này chấn thương xương lớn; lựa chọn các phương pháp quản lý tối ưu phụ thuộc vào độ ổn định mắt cá chân năm. Gãy xương ổn định (ví dụ như bị cô lập bên malleolar) được quản lý nonsurgically Nói chung, gãy xương không ổn định (ví dụ, bimalleolar, bimalleolar tương đương) thường được quản lý với giảm mở và cố định nội bộ. | Ankle Fractures Resulting From Rotational Injuries James D. Michelson MD Abstract Ankle fractures are among the most common skeletal injuries selection of an optimal management method depends on ankle stability. Stable fractures eg isolated lateral malleolar generally are managed nonsurgically unstable fractures eg bi-malleolar bimalleolar equivalent usually are managed with open reduction and internal xation. Stress radiographs may aid in the management of incomplete deltoid injury in which there is medial swelling and tenderness without radiographic talar shift. A posterior malleolar fracture should be reduced and stabilized if it comprises 30 of the articular surface and remains displaced after bular stabilization. Ankle fractures with syndesmotic injury have additional tibio bular instability that can be controlled by screw xation. However the choice between metal and bioabsorbable screws screw size number of cortices xed and indications for screw removal remain controversial. Conditions such as diabetes or advanced age are no longer contraindications to usual management recommendations. J Am Acad Orthop Surg 2003 11 403-412 ished which predisposes to articular cartilage damage and premature degeneration. Measurements of contact area over the entire dynamic range of motion more accurately reflect altered three-dimensional motion4 5 than do static measures of contact area obtained at a single gait position. Restoration of normal stability and motion in patients with unstable ankle fractures through open anatomic reduction and internal xation yields better long-term outcomes than does closed treatment which may not adequately reconstitute either the anatomic constraints or the Ankle fractures are common musculoskeletal injuries and their incidence and severity are increasing among people older than 65 Management of ankle fractures is governed by the character of the fracture in the context of associated medical conditions such as diabetes or .
