Abstract：
Ankle fractures represent up to 9% of all fractures, with an increased incidence in the elderly population. Among these fractures, isolated fractures of the lateral malleolus are the most common, representing 65-70% of all cases. The therapeutic decision-making primarily relies on the stability of the ankle ring, considering it stable if affected at one point and unstable if two or more points are affected. Surgical treatment focuses on restoring the length of the fibula, joint reconstruction, stabilizing the syndesmosis, and providing a stable fixation. It is crucial to rule out associated injuries that may influence therapeutic management. This article reviews the evaluation and management of lateral malleolus fractures, proposes a decision-making algorithm, and examines several fibular fixation options.
摘要：
踝关节骨折占所有骨折的9%,老年人口发病率增加。在这些骨折中，孤立的外踝骨折是最常见的，占所有病例的65-70%。治疗决策主要依赖于踝环的稳定性,如果在一个点受到影响，则认为它是稳定的，如果两个或两个以上的点受到影响，则认为它是不稳定的。手术治疗的重点是恢复腓骨的长度,联合重建，稳定连骨，并提供稳定的固定。排除可能影响治疗管理的相关损伤至关重要。本文综述了外踝骨折的评估和治疗。提出了一种决策算法，并检查了几种腓骨固定方法。
