摘要
目的：探讨合并下胫腓韧带损伤特殊类型的踝关节骨折脱位的创伤病理特点和下胫腓韧带损伤处理。方法：1998年至2012年收治的经手术治疗的113例合并下胫腓联合损伤的踝关节骨折进行了回顾性分析,男79例,女34例;年龄17~78岁,平均38岁。所有病例均采用切开复位内固定,下胫腓联合采用单个或双螺钉固定107例,手术后用石膏外固定6周。结果：术后平均随访4.5年（6月~8年）,骨折均愈合,无切口感染,按Baird和Jackon踝关节评分系统,优良（91~100分）101例,可（81~90分）10例,差（0~80分）2例,平均85.5分（20~100分）。结论：骨折的解剖复位,胫距之间正常的对合关系,三角韧带深层损伤的修复,应依据不同骨折类型处理下胫腓韧带损伤,是取得优良结果的关键。
Objective： To investigate the trauma pathological peculiarity and management of special type of ankle fracture and dislocation combined with inferior tibiofibular syndesmosis injury.Methods： A retrospective analysis has done on 113 patients（included male 79 and female 34, the range of age were from 17 to 78 years with an average of 38 years） received surgery with syndesmosis injury in ankle fractures from 1998 to 2012.All cases are treated by open reduction and internal fixation,single or two tibiofibular syndesmosis screw fixation in 107 cases among them,combined with plaster external fixation for 6 weeks.Results：All patients were followed u Pfrom 6 months to 8 years with an average of4.5 years,no patients had union or infection,according to Baird and Jackon ankle scoring system,the excellent results were found in73 cases（91~100 scores）,fair in 8（81~90 scores）,bad in 2（0~80 scores）,an average of 85.5 score（20~100 scores）.Conclusion： The anatomical reduction of fractures,involution of the normal relationshi Pbetween the tibial and astragalus,repair of the dee Ptriangular ligament injury,treatment based on different types of inferior tibiofibular syndesmosis injury,are critical factors to achieve good results.
出处
《中国医药导刊》
2015年第8期798-800,共3页
Chinese Journal of Medicinal Guide
关键词
下胫腓联合
韧带
踝关节
骨折
脱位
Inferior tibiofibular syndesmosis
Ligament
Ankle joint
Fracture
Dislocation
