Complicated Bosworth fracture-dislocation: A case report and review of the literature

IF 1.8 4区 医学 Q2 ORTHOPEDICS Chinese Journal of Traumatology Pub Date : 2023-11-01 DOI:10.1016/j.cjtee.2023.07.003
Dong-Peng Tu, Li-Jun Cai, Hong-Yong Zhao, Li-Gang Huang, Jing Nie
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Abstract

Bosworth fracture and dislocation is relatively rare, accounting for about 1% of ankle fractures. It is characterized by the proximal fibula fracture embedded in the posterolateral distal tibia. Due to an insufficient understanding of this fracture, it is easy to cause missed diagnosis and misdiagnosis in clinical practice. Due to the insertion of the fracture, it is challenging to perform closed reduction, and improper treatment is easy to cause complications. Surgical treatment is recommended for this type of fracture. In order to improve the understanding of orthopedic surgeons about Bosworth fracture and dislocation, this paper reports the diagnosis and treatment of 2 cases of Bosworth fracture and dislocation, and reviews the literature on Bosworth fracture's mechanism, diagnosis, classification, complications, and treatment options in recent years.

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复杂Bosworth骨折脱位1例报告及文献复习
博斯沃思骨折脱位相对少见,约占踝关节骨折的1%。其特点是腓骨近端骨折嵌入胫骨远端后外侧。由于对该骨折认识不足,在临床实践中容易造成漏诊和误诊。由于骨折的插入性,进行闭合复位具有挑战性,处理不当容易引起并发症。这种类型的骨折建议手术治疗。为了提高骨科医生对Bosworth骨折脱位的认识,本文报道2例Bosworth骨折脱位的诊治,并对近年来有关Bosworth骨折的发病机制、诊断、分类、并发症及治疗方案等方面的文献进行综述。
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来源期刊
CiteScore
3.80
自引率
4.80%
发文量
1707
审稿时长
28 weeks
期刊介绍: Chinese Journal of Traumatology (CJT, ISSN 1008-1275) was launched in 1998 and is a peer-reviewed English journal authorized by Chinese Association of Trauma, Chinese Medical Association. It is multidisciplinary and designed to provide the most current and relevant information for both the clinical and basic research in the field of traumatic medicine. CJT primarily publishes expert forums, original papers, case reports and so on. Topics cover trauma system and management, surgical procedures, acute care, rehabilitation, post-traumatic complications, translational medicine, traffic medicine and other related areas. The journal especially emphasizes clinical application, technique, surgical video, guideline, recommendations for more effective surgical approaches.
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