使距骨及踝外侧半脱位。
然后将距骨及内膘踝向外侧半脱位，显露关节面。
Then subluxate the talus and malleolus laterally to reach the joint surfaces.
目的：探讨踝部骨折的治疗与距骨生物力学的关系。
OBJECTIVE: To explore the relationship between treatment of ankle fracture and the biomechanics of the talus.
尤其是距骨的外侧和前方的损伤以及内踝的损伤常伴有不佳的临床疗效。
Specifically, lesions on the anterior and lateral aspects of the talus and on the medial malleolus correlate with an unfavorable clinical outcome.
因此恢复踝穴的解剖关系，稳定距骨在其中的位置甚为重要。
Therefore, it is very important to stabilize the position of talus in order to restore the anatomical structure of ankle.
目的为治疗距骨颈骨折、距骨体缺血性坏死和踝、足部其它骨质病损提供系列术式。
Objective To provide a series of surgical approaches for treatment of talus neck fracture, ischemic necrosis of talus body, and other bone lesions in ankle and foot.
结论：以外踝前血管为蒂的外踝骨膜骨瓣移位可修复距骨损伤。
Conclusions: the transposition of external malleolus periosteum bone flap pedicled with external malleolus anterior artery can be designed to plerosis the injured talus.
结论：经内踝截骨入路空心加压螺纹钉固定是治疗复杂距骨颈骨折的有效方法之一。
Objective: To explore clinical effect of treatment of fractures of the talar neck with hollow compression screw via inner malleolus tomy approach.
结论：经内踝截骨入路空心加压螺纹钉固定是治疗复杂距骨颈骨折的有效方法之一。
Objective: To explore clinical effect of treatment of fractures of the talar neck with hollow compression screw via inner malleolus tomy approach.
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