Maisonneuve骨折诊断与治疗的研究进展

Research progress in diagnosis and treatment of Maisonneuve fractures of the fibula

Maisonneuve骨折(Maisonneuve fractures of the fibula,MFF)是以腓骨近端1/3骨折、下胫腓联合撕裂及踝关节内侧结构损伤为主要特点的踝关节的特殊类型损伤。以往认为MFF损伤的机制属于经典的踝关节骨折旋前-外旋型,近年来有学者提出并非全部如此。MFF发病率在以往文献报道中较低,其损伤机制和损伤特点决定了MFF的不稳定性。MFF从发病率、损伤机制、诊疗手段等各方面得到了研究,其损伤特点、诊治手段等方面的研究尚有一些争议。近年来国内外学者提出了MFF发生机制、治疗等各方面新的观点,更新了以往人们对该疾病的认识。该文就MFF的诊断与治疗研究进展作一综述。

Maisonneuve fractures of the fibula(MFF) are special types of ankle injury,which is characterized by the injury of proximal 1/3 of the fibula fracture,lower tibiofibular joint and medial malleolus.It is commonly believed that MFF is a spinning-type fracture,however some scholars put forward some different points of view in recent years.The incidence of MFF is low,and this type of fracture is extremely unstable.Many scholars have studied the traumatic mechanism and treatment of MFF,and there is obvious dispute about the degree of dissection of the lower tibia,the extent of interosseous membrane damage and the choice of treatment methods.In recent years,scholars from all over the world put forward some new concepts of MFF development mechanism and treatment methods to raise the public awareness of the disease.In this paper,we review the research progress in diagnosis and treatment of MFF.