摘要
作者随访了腓骨切除病人15例,随访时间最短1年半,最长26年。发现腓骨切除<8cm7例,患肢症状、体征均较轻;切除至中及下1/38例,除症状较重外,还出现不同程度的下胫腓关节分离,腓骨上移,距骨向外移位,患肢的负重应力向外转移,严重者出现踝关节创伤性关节炎。认为胫腓骨远端融合可减轻或逆转病理变化。
15 Cases of partial fibula remove were reviewed and followed up 1. 5~26 years. The clinical symptoms and signs of 7 cases whose length of removal fibula was shorter than 8 cm were mild. Other 8 cases which fibula had been removed to middle or low 1/3,not only the symptoms and signs were serious,but subluxation of tibiofibular articulation,up-ward displacement of fibula,lateral displacement of ankle bone, lateral displacement on limb's loading,resulting in traumatic arthritis. We think that the pathological change could be reduced or reversed after tibio-fibular fusion.
出处
《骨与关节损伤杂志》
1992年第4期212-214,共3页
The Journal of Bone and Joint Injury