足踝部创伤后畸形的修复决策

Reconstruction of Failed foot and Ankle Fractures

足踝部创伤后遗畸形是临床上最常见也是最棘手的病症之一。作为人体活动的支撑和力学传导支柱,足踝创伤后畸变将造成连锁的踝关节、膝关节、髋关节和脊柱的退变,最后严重影响患者的生活质量。因此,需要运用哲学体系的思路和理念来指导此类病症的临床诊治,以求获得最佳的远期疗效。本文根据足踝部不同部位创伤后遗畸形的治疗作一综合性论述,为临床作基本的指导。

Mal- union and nonunion of Foot and Ankle fractures are some of the most common and difficult injuries treated by orthopedic surgeons. As human body＇s support and transmit of weight, failure to reduce and maintain fractures and dislocations around the foot and ankle properly predisposes to instability and late osteoarthritis, as well as degeneration of knee hip and spine, seriously influence patient＇ s life quality, so they should be diagnosed and treated philosophically to get the best long-term results. This article focuses on the reconstruction of failed foot and ankle fractures that results in malunion or nonunion, according to different segments, and make a suggestion to formulate guiding programme for the treat of these diseases.