踝关节骨折

可能会发生骨折不愈合，持续性和有症状的不愈合可行内固定翻修，自体骨植骨。[50]Walsh EF, DiGiovanni C. Fibular nonunion after closed rotational ankle fracture. Foot Ankle Int. 2004;25:488-495.http://www.ncbi.nlm.nih.gov/pubmed/15319107?tool=bestpractice.com

由于内外踝表面软组织薄，患者可能出现内固定物刺激，需行内固定物取出术。[48]Brown OL, Dirschl DR, Obremskey WT. Incidence of hardware-related pain and its effect on functional outcomes after open reduction and internal fixation of ankle fractures. J Orthop Trauma. 2001;15:271-274.http://www.ncbi.nlm.nih.gov/pubmed/11371792?tool=bestpractice.com[49]Schepers T. To retain or remove the syndesmotic screw: a review of literature. Arch Orthop Trauma Surg. 2011;131:879-883.http://link.springer.com/article/10.1007/s00402-010-1225-x/fulltext.htmlhttp://www.ncbi.nlm.nih.gov/pubmed/21161662?tool=bestpractice.com

感染可发生在急性期或术后晚期。急性期感染可为浅表伤口感染或深部感染。若感染为浅表性，可使用肠外或口服抗生素，并仔细观察伤口情况。若留有引流，或有脓肿或深部感染迹象，需行清创灌洗，并使用肠外抗生素。