\u8e1d\u5173\u8282\u9aa8\u6298\u5206\u578b\u4e3b\u8981\u5e94\u7528Lauge-Hansen\u5206\u578b\u3001AO\u5206\u578b\u4ee5\u53caDanis-Weiber\u5206\u578b\u3002\u4f46\u662f\u7531\u4e8e\u8e1d\u5173\u8282\u89e3\u5256\u7ed3\u6784\u6bd4\u8f83\u590d\u6742\uff0c\u4e0d\u89c4\u8303\u7684\u8bca\u6cbb\u5bb9\u6613\u9020\u6210\u6f0f\u8bca\uff0c\u8bef\u8bca\uff0c\u8fdb\u800c\u9020\u6210\u4e25\u91cd\u7684\u540e\u679c\u3002\u5728\u8fd9\u91cc\u603b\u7ed3\u4e00\u4e9b\u7279\u6b8a\u547d\u540d\u7684\u8e1d\u5173\u8282\u9aa8\u6298\u7c7b\u578b\uff0c\u4ee5\u671f\u4e3a\u4e34\u5e8a\u4e88\u4ee5\u5e2e\u52a9\u3002<\/p>\n
1.Tillaux\u9aa8\u6298\u3002<\/p>\n
Tillaux\u9aa8\u6298[1]\u662f\u4e00\u79cd\u5916\u65cb\u8e1d\u5173\u8282\u635f\u4f24\uff08\u5c5e\u4e8eLauge-Hansen\u5206\u578b\uff1a\u65cb\u540e-\u5916\u65cbI\u5ea6\uff09\uff0c\u7531\u4e8e\u80eb\u8153\u524d\u4e0b\u97e7\u5e26\u62c9\u7d27\u5bfc\u81f4\u8e1d\u5173\u8282\u524d\u5916\u4fa7\u80eb\u9aa8\u7ed3\u8282\u6495\u8131\u9aa8\u6298\u3002\u8fd9\u79cd\u635f\u4f24\u591a\u53d1\u751f\u5728\u9752\u5c11\u5e74\u4e2d\uff0c\u4f46\u5728\u6210\u4eba\u4e2d\u5f88\u5c11\u89c1\u3002<\/p>\n<\/p>\n
2.Maisonneuve\u9aa8\u6298<\/p>\n
Maisonneuve \u9aa8\u6298[2]\u662f\u4e00\u79cd\u4e34\u5e8a\u4e0a\u8f83\u4e3a\u5c11\u89c1\u7684\u7279\u6b8a\u7c7b\u578b\uff0c\u5176\u7279\u5f81\u662f\u7531\u5916\u65cb\u66b4\u529b\u5f15\u8d77\u8153\u9aa8\u9ad8\u4f4d\u9aa8\u6298\uff0c\u540c\u65f6\u5408\u5e76\u4e0b\u80eb\u8153\u8054\u5408\u635f\u4f24\u548c\u5185\u8e1d\u7ed3\u6784\u635f\u4f24\u3002\uff08\u9664\u5e38\u89c4X\u7ebf\u68c0\u67e5\u548cCT\u68c0\u67e5\u5916\uff0c\u8fd8\u9700\u52a0\u505a\u80eb\u8153\u9aa8\u5168\u957f\u7247\u3002\uff09 <\/p>\n<\/p>\n
3.Bosworth\u9aa8\u6298<\/p>\n
Bosworth\u9aa8\u6298[3]\u662f\u5916\u65cb\u66b4\u529b\u81f4\u8153\u9aa8\u9aa8\u6298\u8fd1\u7aef\u79fb\u4f4d\u5361\u538b\u5728\u80eb\u9aa8\u540e\u5916\u4fa7\uff0c\u6709\u53ef\u80fd\u662f\u8f6f\u7ec4\u7ec7\u7ede\u7d22\u5bfc\u81f4\uff0c\u5f88\u96be\u81ea\u52a8\u6216\u624b\u6cd5\u590d\u4f4d\u3002\u5904\u7406\u4e0d\u5f53\u5bb9\u6613\u5bfc\u81f4\u9aa8\u7b4b\u819c\u5ba4\u7efc\u5408\u5f81\uff0c\u9020\u6210\u4e25\u91cd\u540e\u679c\uff0c\u6240\u4ee5\u6761\u4ef6\u5141\u8bb8\u72b6\u6001\u4e0b\u9700\u5c3d\u65e9\u624b\u672f\u3002<\/p>\n
\u6807\u51c6X\u7ebf\u7247\u4e0a\u4e00\u4e2a\u5e38\u89c1\u7684\u5f81\u8c61\u662f\u201c\u814b\u7a9d\u5f81\u201d[4]\uff0c\u63d0\u793aBosworth\u9aa8\u6298\u53ef\u80fd\u5b58\u5728\u3002<\/p>\n<\/p>\n<\/p>\n
\u56fe\u793a\uff1a\u53f3\u5c0f\u817f\u548c\u8db3\u90e8\uff08A\uff09\u5916\u65cb\u4f34\u8e1d\u5173\u8282\u80cc\u4fa7\u53d8\u8272\u7684\u56f4\u624b\u672f\u671f\u6444\u5f71\u56fe\u50cf;\uff08B\uff09\u5728\u8153\u9aa8\u8fd1\u7aef\u6c34\u5e73\uff08#\uff09\uff0c\u53ef\u76f4\u63a5\u770b\u5230\u80eb\u9aa8\u5916\u4fa7\uff08*\uff09\u3002(C)\u4ece\u80eb\u9aa8\u8fdc\u7aef\u540e\u5d74\u540e\u53ef\u4ee5\u770b\u89c1\u6e38\u79bb\u8153\u9aa8\u8fd1\u7aef\u3002(D)\u8ddd\u9aa8\u524d\u5185\u4fa7\u7a79\u9686\u89c6\u56fe\u663e\u793a\u521b\u4f24\u548c\u957f\u671f\u8131\u4f4d\u5f15\u8d77\u76842\u5904\u5c0f\u9aa8\u8f6f\u9aa8\u75c5\u53d8\u3002<\/p>\n<\/p>\n
\u8e1d\u5173\u8282\u6b63\u4fa7\u4f4d X\u7ebf\u5f71\u50cf\uff0c\u7bad\u5934\u663e\u793a\u201c\u814b\u7a9d\u5f81\u201d\u3002<\/p>\n
4.Volkmann \u9aa8\u6298<\/p>\n
\u4e0b\u80eb\u8153\u540e\u97e7\u5e26\u5728\u80eb\u9aa8\u540e\u5916\u4fa7\u9644\u7740\u70b9\u5904\u53d1\u751f\u7684\u6495\u8131\u9aa8\u6298\u5b9a\u4e49\u4e3a Volkmann \u9aa8\u6298[5]\u3002Volkmann \u9aa8\u6298\u6781\u5c11\u5355\u72ec\u51fa\u73b0\uff0c\u5e38\u5408\u5e76\u5185\u8e1d\u5916\u8e1d\u53ca\u4e0b\u80eb\u8153\u8054\u5408\u635f\u4f24\u3002\u8003\u8651\u5230\u4e0b\u80eb\u8153\u540e\u97e7\u5e26\u5728\u7ef4\u6301\u4e0b\u80eb\u8153\u7a33\u5b9a\u6027\u4e2d\u7684\u91cd\u8981\u4f5c\u7528\uff0c\u56fa\u5b9a\u540e\u8e1d\u53ef\u660e\u663e\u6062\u590d\u4e0b\u80eb\u8153\u7684\u7a33\u5b9a\uff0c\u5bf9\u4e8e\u540e\u8e1d\u9aa8\u6298\u5757\u7d2f\u53ca 25\uff05\u4ee5\u4e0a\u5173\u8282\u9762\u53ca\u79fb\u4f4d\uff1e2 mm \u65f6\u5e94\u624b\u672f\u6cbb\u7597\u3002<\/p>\n<\/p>\n<\/p>\n
\u56fe\u793a\uff1aA,B,C\u4e09\u56fe\u5206\u522b\u4ece\u6c34\u5e73\u4f4d\uff0c\u77e2\u72b6\u4f4d\u548c\u4e09\u7ef4\u56fe\u50cf\u8868\u9009\u51faTillaux\u9aa8\u6298\u548cVolkmann \u9aa8\u6298<\/p>\n
5.Logsplitter \u9aa8\u6298<\/p>\n
Logsplitter \u9aa8\u6298[6]\u53c8\u88ab\u79f0\u4e3a\u201c\u5288\u6728\u673a\u9aa8\u6298\u201d\uff0c\u6307\u9ad8\u80fd\u91cf\u5782\u76f4\u66b4\u529b\u5bfc\u81f4\u8ddd\u9aa8\u5411\u4e0a\u6954\u5165\u4e0b\u80eb\u8153\u8054\u5408\uff0c \u4ece\u800c\u5f15\u8d77\u4e0b\u80eb\u8153\u8054\u5408\u79fb\u4f4d\u4f34\u6709\u8ddd\u9aa8\u5173\u8282\u9762\u635f\u4f24\uff0c\u662f\u4e00\u79cd\u590d\u6742\u7684\u9884\u540e\u8f83\u5dee\u7684\u7279\u6b8a\u7c7b\u578b\u8e1d\u5173\u8282\u9aa8\u6298\u3002Logsplitter \u9aa8\u6298\u65f6\u8e1d\u5173\u8282\u5468\u56f4\u89e3\u5256\u9519\u4e71\uff0c\u5e38\u51fa\u73b0\u5f00\u653e\u6027\u635f\u4f24\u6216\u76ae\u80a4\u574f\u6b7b\u3002\u56e0\u6b64\uff0c\u65e9\u671f\u624b\u672f\u6bd4\u8f83\u91cd\u8981\u3002<\/p>\n<\/p>\n
\u56fe\u793a\uff1a\u4e24\u4e2a\u5355\u72ec\u7684\u7ecf\u97e7\u5e26\u8054\u5408\u9aa8\u6298\u8131\u4f4d\u793a\u4f8b\uff0c\u5176\u4e2d\u8ddd\u9aa8\u88ab\u5411\u4e0a\u9a71\u52a8\u8fdb\u5165\u7834\u574f\u7684\u97e7\u5e26\u8054\u5408\uff08A\uff09\uff0c\u5bfc\u81f4\u53ef\u80fd\u7d2f\u53ca\u80eb\u9aa8\u5173\u8282\u9762\uff08B\uff09<\/p>\n
6.Wanstaffe \u9aa8\u6298<\/p>\n
Wanstaffe \u9aa8\u6298[7]\u4f4d\u4e8e\u8fdc\u7aef\u8153\u9aa8\u524d\u7ed3\u8282\u7684\u4e0b\u65b9\uff0c\u4e0b\u80eb\u8153\u524d\u97e7\u5e26\u6216\u8ddd\u8153\u524d\u97e7\u5e26\u5728\u8153\u9aa8\u9644\u7740\u70b9\u9644\u8fd1\u7684\u6495\u8131\u9aa8\u6298\uff0c\u4f4d\u4e8e\u5916\u8e1d\u524d\u7f18\u7684\u7eb5\u884c\u9aa8\u6298\u3002\u5f80\u5f80\u5bb9\u6613\u88ab\u5ffd\u89c6\u3002\uff08\u5927\u90fd\u7531\u4e8e\u65cb\u540e-\u5916\u65cb\u6240\u81f4\u3002\uff09<\/p>\n
Wanstaffe \u9aa8\u6298\u5206\u578b\uff1a<\/p>\n
I\u578b\uff1a\u4e0b\u80eb\u8153\u524d\u97e7\u5e26\u548c\u8ddd\u8153\u524d\u97e7\u5e26\u9644\u7740\u70b9\u6495\u8131\u9aa8\u6298\u3002<\/p>\n<\/p>\n
II\u578b\uff1a\u4e0b\u80eb\u8153\u524d\u97e7\u5e26\u9644\u7740\u70b9\u4ee5\u4e0b\u8153\u9aa8\u659c\u5f62\u9aa8\u6298\uff0c\u4f34\u97e7\u5e26\u9644\u7740\u70b9\u9aa8\u6298\u3002<\/p>\n<\/p>\n
III\u578b\uff1a\u8153\u9aa8\u659c\u5f62\u9aa8\u6298\u540c\u65f6\u4f34\u6709\u4e0b\u80eb\u8153\u524d\u97e7\u5e26\u4e8e\u80eb\u9aa8\u524d\u7ed3\u8282\u6495\u8131\u9aa8\u6298\u3002<\/p>\n<\/p>\n
\u53c2\u8003\u6587\u732e\uff1a<\/p>\n
[1]Kumar N, Prasad M. Tillaux fracture of the ankle in an adult: a rare injury. J Foot Ankle Surg. 2014 Nov-Dec;53(6):757-8.<\/p>\n
[2]He JQ, Ma XL, Xin JY, et,al. Pathoanatomy and Injury Mechanism of Typical Maisonneuve Fracture. Orthop Surg. 2020 Dec;12(6):1644-1651.<\/p>\n
[3]Schepers T, Hagenaars T, Den Hartog D. An irreducible ankle fracture dislocation: the Bosworth injury. J Foot Ankle Surg. 2012 Jul-Aug;51(4):501-3.<\/p>\n
[4]Khan F, Borton D. A constant radiological sign in Bosworth’s fractures: ‘the Axilla sign’. Foot Ankle Int. 2008 Jan;29(1):55-7.<\/p>\n
[5]Kose O, Yuksel HY, Guler F, et,al. Isolated Adult Tillaux Fracture Associated With Volkmann Fracture-A Unique Combination of Injuries: Report of Two Cases and Review of the Literature. J Foot Ankle Surg. 2016 Sep-Oct;55(5):1057-62.<\/p>\n
[6]Bible JE, Sivasubramaniam PG, Jahangir AA, et,al. High-energy transsyndesmotic ankle fracture dislocation–the ‘Logsplitter’ injury. J Orthop Trauma. 2014 Apr;28(4):200-4.<\/p>\n
[7]Birnie MFN, van Schilt KLJ, Sanders FRK,et,al. Anterior inferior tibiofibular ligament avulsion fractures in operatively treated ankle fractures: a retrospective analysis. Arch Orthop Trauma Surg. 2019 Jun;139(6):787-793. <\/p>\n","protected":false},"excerpt":{"rendered":"
\u8e1d\u5173\u8282\u9aa8\u6298\u5206\u578b\u4e3b\u8981\u5e94\u7528Lauge-Hansen\u5206\u578b\u3001AO\u5206\u578b\u4ee5\u53caDanis-We … \u7ee7\u7eed\u9605\u8bfb