作为人体负重最大的关节,踝关节骨折的 Lauge-Hansen 分型对于很多年轻骨科医生来说既熟悉又陌生。以下内容结合相关文献详细阐述这一分型,并与 AO 分型相对应。
Lauge-Hansen 分类
当足处于旋后位时,内侧的三角韧带松弛,因此最初损伤的是外侧结构
旋后内收损伤
AO/OTA 分型
44C 腓骨骨折线位于下胫腓联合上方,下胫腓关节不稳定。
两种分型的对应关系
后记
理想的骨折可根据骨折分型来判断治疗方案,并能提供给医生和患者预后的预判。
总之,AO 分型对手术治疗有一定指导意义。Lauge-Hansen 分型主要基于踝关节的间接损伤机制,常用来指导骨折的闭合复位。
作者:小六
题图、插图:来源于参考文献
参考文献
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