脚踝
医学
外固定
胫骨
截肢
外科
毒物控制
固定(群体遗传学)
外固定器
医疗急救
环境卫生
人口
作者
Kathleen A. McHale,D. A. Gajewski
出处
期刊:Military Medicine
[Oxford University Press]
日期:2002-06-01
卷期号:167 (6): 454-458
被引量:6
标识
DOI:10.1093/milmed/167.6.454
摘要
The “floating ankle” is an underappreciated pattern of injury that results from violent trauma and/or blast injuries in military personnel. It is characterized by an intact ankle mortise with a distal tibia fracture and an ipsilateral foot fracture, creating instability around the ankle. This pattern of injury may be the result of the military boot, which both protects the foot from immediate amputation or further injury and renders the distal tibia susceptible to fracture at the boot top. Four patients with open floating ankle injuries were treated with thin-pin circular fixation with good results. Two patients required bone transport for segmental loss. All patients are ambulatory without assistance or bracing. Thin-pin external fixation is a reasonable approach to this complex injury pattern, especially in the presence of marked soft tissue compromise with or without segmental bone loss.
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