Abstract:
Bosworth fracture (BF) is a rare, but a severe injury to the ankle, characterized by displacement of a fragment of the fractured fibula (mostly of Weber B type) from the tibiofibular incisure to the posterior surface of the distal tibia. In 70% of cases, it is associated with a fracture of the posterior malleolus. This injury is not quite well known, with only 175 cases described in the literature to date. BF requires CT examination, including 3D reconstructions. Closed reduction almost always fails as there is an increased risk of compartment syndrome, mainly after repeated attempts at closed reduction. Therefore, operative treatment is indicated as a standard. The outcome of the operation should be always checked by postoperative CT examination.
摘要:
博斯沃思骨折(BF)是一种罕见的,但脚踝严重受伤,其特征是腓骨骨折的碎片(主要是韦伯B型)从胫腓骨切口移位到胫骨远端后表面。在70%的案例中,它与后踝骨折有关。这种伤害不是很清楚,迄今为止,文献中只有175例病例。BF需要CT检查,包括3D重建。闭合复位几乎总是失败,因为筋膜室综合征的风险增加,主要是在反复尝试封闭还原之后。因此,手术治疗是一个标准。应始终通过术后CT检查检查手术结果。