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中华关节外科杂志(电子版) ›› 2023, Vol. 17 ›› Issue (04) : 566 -570. doi: 10.3877/cma.j.issn.1674-134X.2023.04.016

综述

踝关节Logsplitter损伤诊治的研究进展
李康, 耿喜林, 汪玉良, 刘京升()   
  1. 730030 兰州大学第二医院创伤骨科
  • 收稿日期:2022-09-08 出版日期:2023-08-01
  • 通信作者: 刘京升
  • 基金资助:
    甘肃省自然科学基金(23JRRA0970); 甘肃省教委科研基金(2021B -045)

Research progress in the diagnosis and treatment of ankle Logsplitter injury

Kang Li, Xilin Geng, Yuliang Wang, Jingsheng Liu()   

  1. Department of Orthopedics, the Second Affiliated Hospital of Lanzhou University, Lanzhou 730030, China
  • Received:2022-09-08 Published:2023-08-01
  • Corresponding author: Jingsheng Liu
引用本文:

李康, 耿喜林, 汪玉良, 刘京升. 踝关节Logsplitter损伤诊治的研究进展[J/OL]. 中华关节外科杂志(电子版), 2023, 17(04): 566-570.

Kang Li, Xilin Geng, Yuliang Wang, Jingsheng Liu. Research progress in the diagnosis and treatment of ankle Logsplitter injury[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(04): 566-570.

踝关节Logsplitter损伤是由垂直暴力为主旋转暴力为辅的一种严重骨折伴脱位,常常导致严重的踝关节骨性结构和韧带损伤。处理此类损伤具有一定的挑战性,需要对其充分认识,妥善的处理才能减少术后并发症的发生,本文就近年来踝关节Logsplitter损伤的相关研究做一综述,以期为临床医生和研究者提供参考。

Logsplitter injury of ankle joint is a kind of severe fracture with dislocation, which is mainly caused by vertical violence and supplemented by rotational violence, and often leads to severe ankle bone structure and ligament injury. It is a challenge to deal with such injuries. It is necessary to fully understand them and properly deal with them to reduce the occurrence of postoperative complications. This article reviewed the relevant research on ankle joint Logsplitter injury in recent years, with a view to providing reference for clinicians and researchers.

图1 劈木机损伤示意图
Figure 1 Schematic diagrams of log-splitter injury
[1]
Han J, Anson J, Waddington G, et al. The role of ankle proprioception for balance control in relation to sports performance and injury[J/OL]. Biomed Res Int, 2015, 2015: 842804.DOI:10.1155/2015/842804.
[2]
Xu K, Zhang J, Zhang P, et al. Comparison of suture-button versus syndesmotic screw in the treatment of distal tibiofibular syndesmosis injury: a meta-analysis[J]. J Foot Ankle Surg, 2021, 60(3):555-566.
[3]
Sidhu SP, Atwan Y, Cavanagh J, et al. High-energy transsyndesmotic ankle fracture dislocation-injury characteristics, radiographic outcomes, and factors affecting the rate of posttraumatic arthritis in logsplitter injuries[J]. J Orthop Trauma, 2022, 36(3): 152-156.
[4]
Bible JE, Sivasubramaniam PG, Jahangir AA, et al. High-energy transsyndesmotic ankle fracture dislocation—the "Logsplitter" injury[J]. J Orthop Trauma, 2014, 28(4): 200-204.
[5]
王建,范江伟,曹明宇,等. 伴撕脱性骨折的踝关节"Logsplitter"损伤未行下胫腓联合螺钉固定的疗效[J]. 中华创伤骨科杂志2020, 22(1): 49-54.
[6]
宫良丰,李盛龙,齐志明,等. "Logsplitter"损伤的治疗方法与预后评价[J]. 中华骨科杂志2016, 36(14): 881-890.
[7]
Yin Z, Wang Z, Ge D, et al. Treatment of a high-energy transsyndesmotic ankle fracture: a case report of "logsplitter injury" [J]. Medicine, 2020, 99(9): e19380.
[8]
Deng Y, Dong C, Yang X, et al. High-energy transsyndesmotic ankle fracture dislocation: a case report and systematic literature review[J/OL]. Case Rep Orthop, 2018, 2018: 7902641. DOI: 10.1155/2018/7902641.
[9]
Wang Z, Tang X, Li S, et al. Treatment and outcome prognosis of patients with high-energy transsyndesmotic ankle fracture dislocation-the "Logsplitter" injury[J]. J Orthop Surg Res, 2017, 12(1): 3.
[10]
任毅,吴仕舟,邓伟,等. 切开复位内固定治疗开放与闭合踝关节Logsplitter骨折疗效比较[J]. 中国修复重建外科杂志2018, 32(10): 1302-1307.
[11]
Zhang M, Chen YF, Wang L, et al. Clinical characteristics and surgical experience of Type III Wagstaffe fractures: pay attention to concomitant chondral injury of the talus[J]. Foot Ankle Surg, 2018, 24(5): 394-399.
[12]
Feng SM, Sun QQ, Wang AG, et al. "all-inside" arthroscopic treatment of tillaux-chaput fractures: clinical experience and outcomes analysis[J]. J Foot Ankle Surg, 2018, 57(1): 56-59.
[13]
Chiang CC, Tzeng YH, Jeff Lin CF, et al. Arthroscopic reduction and minimally invasive surgery in supination-external rotation ankle fractures: a comparative study with open reduction[J]. Arthroscopy, 2019, 35(9): 2671-2683.
[14]
Tantigate D, Noback PC, Bäcker HC, et al. Anatomy of the ankle capsule: a cadaveric study[J]. Clin Anat, 2018, 31(7): 1018-1023.
[15]
Mengiardi B, Pinto C, Zanetti M. Medial collateral ligament complex of the ankle: MR imaging anatomy and findings in medial instability[J]. Semin Musculoskelet Radiol, 2016, 20(1): 91-103.
[16]
Zhang YW, Rui YF. A systematic review of the "Logsplitter" injury: how much do we know?[J]. Injury, 2021, 52(3): 358-365.
[17]
Hagen JE, Rausch S, Simons P, et al. Computed tomography analysis for quantification of displacement of the distal Fibula in different foot positions with weightbearing and sequentially increased instability: an anatomic cadaveric study on syndesmosis[J]. J Foot Ankle Surg, 2019, 58(4): 734-738.
[18]
Natoli RM, Summers HD. Irreducible ankle fracture-dislocation due to tibialis anterior subluxation: a case report[J]. J Foot Ankle Surg, 2015, 54(2): 268-272.
[19]
Walter WR, Hirschmann A, Alaia EF, et al. Normal anatomy and traumatic injury of the midtarsal (chopart) joint complex: an imaging primer[J]. Radiographics, 2019, 39(1): 136-152.
[20]
Zhang YW, Xiao X, Xiao Y, et al. Efficacy and prognosis of 3D printing technology in treatment of high-energy trans-syndesmotic ankle fracture dislocation - "log-splitter" injury[J]. Med Sci Monit, 2019, 25: 4233-4243.
[21]
王勇,王强,吴桢,等. 踝关节Logsplitter损伤的临床特点及治疗策略[J]. 中华骨科杂志2022(10): 618-625.
[22]
Shou K, Adhikary R, Zou L, et al. The assessment of the reduction algorithm in the treatment for "logsplitter" injury[J/OL]. Biomed Res Int, 2020, 2020: 4139028. DOI: 10.1155/2020/4139028.
[23]
Chun DI, Cho JH, Min TH,et al. Diagnostic accuracy of radiologic methods for ankle syndesmosis injury: a systematic review and meta-analysis[J/OL]. J Clin Med, 20193:8(7):968.
[24]
Warner SJ, Garner MR, Fabricant PD, et al. The diagnostic accuracy of radiographs and magnetic resonance imaging in predicting deltoid ligament ruptures in ankle fractures[J]. HSS J, 2019, 15(2): 115-121.
[25]
de Krom MA, Kalmet PH, Jagtenberg EM, et al. Diagnostic tools to evaluate ankle instability caused by a deltoid ligament rupture in patients with supination-external rotation ankle fractures: a systematic review and meta-analysis[J]. Injury, 2022, 53(2): 724-731.
[26]
Shariff SS, Nathwani DK. Lauge-Hansen classification—a literature review[J]. Injury, 2006, 37(9): 888-890.
[27]
Meinberg EG, Agel J, Roberts CS, et al. Fracture and dislocation classification compendium-2018[J]. J Orthop Trauma, 2018, 32(Suppl 1): S1-S170.
[28]
Olczak J, Emilson F, Razavian A, et al. Ankle fracture classification using deep learning: automating detailed AO Foundation/Orthopedic Trauma Association (AO/OTA) 2018 malleolar fracture identification reaches a high degree of correct classification[J]. Acta Orthop, 2021, 92(1): 102-108.
[29]
Thoreau L, Kaminski L, Putineanu DC. Irreducible ankle fracture dislocation due to posterior tibialis tendon interposition: diagnostic and clues for early management-a case report[J/OL]. Trauma Case Rep, 2019, 20: 100175. DOI: 10.1016/j.tcr.2019.100175.
[30]
蒋建农,王勇,都斌,等. 不可复位性踝关节骨折脱位一例报告[J]. 中华骨科杂志2017, 37(13): 817-819.
[31]
Schatzker J, Johnson RG. Fracture-dislocation of the ankle with anterior dislocation of the fibula[J]. J Trauma, 1983, 23(5): 420-423.
[32]
Schepers T, Hagenaars T, den Hartog D. An irreducible ankle fracture dislocation: the Bosworth injury[J]. J Foot Ankle Surg, 2012, 51(4): 501-503.
[33]
Curry EE, O'Brien TS, Johnson JE. Fibular nonunion and equinovarus deformity secondary to posterior tibial tendon incarceration in the syndesmosis: a case report after a bimalleolar fracture-dislocation[J]. Foot Ankle Int, 1999, 20(8): 527-531.
[34]
金韡,贾其余,曹溢,等. 难复性踝关节骨折脱位1例[J/CD]. 中华关节外科杂志(电子版), 2021, 15(6): 770-772.
[35]
Naqvi GA, Cunningham P, Lynch B, et al. Fixation of ankle syndesmotic injuries: comparison of tightrope fixation and syndesmotic screw fixation for accuracy of syndesmotic reduction[J]. Am J Sports Med, 2012, 40(12): 2828-2835.
[36]
Lee S, Lin J, Hamid KS, et al. Deltoid ligament rupture in ankle fracture: diagnosis and management[J]. J Am Acad Orthop Surg, 2019, 27(14): e648-e658.
[37]
Harper MC. Deltoid ligament: an anatomical evaluation of function[J]. Foot Ankle, 1987, 8(1): 19-22.
[38]
Woo SH, Bae SY, Chung HJ. Short-term results of a ruptured deltoid ligament repair during an acute ankle fracture fixation[J]. Foot Ankle Int, 2018, 39(1): 35-45.
[39]
Xu R, Wang Z, Ma T, et al. Effect of 3D printing individualized ankle-foot orthosis on plantar biomechanics and pain in patients with plantar fasciitis: a randomized controlled trial[J]. Med Sci Monit, 2019, 25: 1392-1400.
[40]
Desouky O, Elseby A, Ghalab AH. Removal of syndesmotic screw after fixation in ankle fractures: a systematic review[J/OL]. Cureus, 2021, 13(6): e15435. DOI: 10.7759/cureus.15435.
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