摘要踝关节骨折临床发病率较高,创伤早期不恰当的保守治疗或错误的手术治疗会引起踝关节骨折畸形愈合.对其诊治需结合病史、体征、影像学检查,诊断往往并不困难.既往踝关节骨折畸形愈合采用踝关节融合手术,而对踝关节切开复位内固定重建手术的疗效存在争议.本文总结了踝关节骨折畸形愈合的诊断要点和不同治疗方法的临床疗效,以及对外踝、下胫腓、内踝、后踝等不同畸形特点的有效处理办法.

abstractsIncidence of ankle fractures is relatively high.Malunited ankle fractures result from inappropriate nonoperative treatment and incorrect surgery as well.It is not difficult to diagnose a malunited ankle fracture when taking history,symptoms and imaging examinations into consideration.Orthopaedic surgeons used to do ankle fusion for this kind of patients as the effect of reconstructive surgery is not clear.This article summarizes the diagnostic and therapeutic methods for ankle fracture malunion based on the articles from 1976 to 2015.More detailed therapeutic methods for deformities involving lateral malleolus,tibiofibular syndesmosis,medial malleolus and posterior malleolus are also reviewed.