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1、Ankle FractureCong-Feng Luo M.D.& Ph.D. Department of Orthopaedic Surgery Shanghai Sixth Peoples HospitalAugsburg, Germany 1998Malleolar Fracture Most malleolar fracture result from indirect forces Bony components are stabilized by two ligamentous complexes- inferior tibiofibular complex (syndemosis
2、)- collateral ligaments ClassificationLigament injuries can be inferred from the fracture patternType AMechanism of InjuryMechanism of InjuryFracture Assessment Physical examination Mortise view Stress viewStress viewStress viewTechniques of Operation Timing:- within 6 hours or after 4-6 days. Choice of approaches Posterior malleolar fractures Fibulotibial syndesmosisApproachesType AType BType B2 weeks later2 weeks later3 months later3 months laterType CType CPostoperative Postoperative managementmanagement