Objective: To review the research progress of the surgical treatment for lateral malleolus defect.
Methods: The related literature about surgical treatment and effectiveness of lateral malleolus defect at home and abroad was reviewed, summarized, and analysed.
Results: Lateral malleolus defects are often caused by severe trauma or wide resection of fibular neoplasms. Although the incidence is not high, the defects are difficult to handle. These bony defects should be reconstructed to prevent an abnormal gait induced by ankle instability and avoid the occurrence of traumatic arthritis. Various repair methods have been developed, including bone transplantation, fibula lengthening, and ankle arthrodesis.
Conclusion: There are various surgical methods to repair the defect of lateral malleolus, but each has its own advantages and disadvantages. In order to achieve the best results, the surgeon should choose the appropriate operation according to his own level, the patient's specific injury, and age.
目的: 综述外踝缺损的手术治疗进展。.
方法: 查阅国内外外踝缺损手术治疗方法及疗效的相关文献，并进行总结分析。.
结果: 外踝缺损常由创伤以及肿瘤切除导致，发生率虽不高但处理较棘手，治疗要求恢复踝关节的稳定性，避免创伤性关节炎的发生。目前治疗外踝缺损的手术方法主要有骨移植术、腓骨延长术、踝关节融合术。.
结论: 外踝缺损修复术式多种多样，但各有利弊，术者需根据自身水平、患者伤情及年龄等因素选择恰当术式，以求达到最佳疗效。.
Keywords: Lateral malleolus defect; research progress; surgical treatment.