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踝关节骨折合并下胫腓联合分离的手术治疗
引用本文:王思辉,王治,王铭春. 踝关节骨折合并下胫腓联合分离的手术治疗[J]. 宁夏医学杂志, 2006, 28(5): 348-349
作者姓名:王思辉  王治  王铭春
作者单位:上海市浦东新区公利医院,上海,200135;上海市浦东新区公利医院,上海,200135;上海市浦东新区公利医院,上海,200135
摘    要:目的探讨踝关节骨折合并下胫腓联合分离的治疗方法。方法踝关节骨折合并下胫腓联合分离患者53例,行踝-下胫腓联合固定。结果全部病例均获得随访,随访时间6-39个月,平均15个月。随访时根据Baird-Jackson评分系统评定疗效:优37例,良11例,可4例,差1例;优良率90.5%。结论下胫腓联合对维持踝穴的完整及稳定具有重要意义,恢复踝穴的解剖关系及稳定的内固定,有助于早期功能锻炼,最大限度地避免后期创伤性关节炎的发生。

关 键 词:踝关节  骨折  下胫腓联合分离  内固定
文章编号:1001-5949(2006)05-0348-02
收稿时间:2006-02-16
修稿时间:2006-02-16

Operative treatment of ankle fracture combined with abruption of lower tibiofibular ligament union
WANG Si-hui,WANG Zhi,WANG Ming-chun. Operative treatment of ankle fracture combined with abruption of lower tibiofibular ligament union[J]. Ningxia Medical Journal, 2006, 28(5): 348-349
Authors:WANG Si-hui  WANG Zhi  WANG Ming-chun
Affiliation:Gongli Hosp. Pudong New Area of Shanghai, Shanghai 200135, China
Abstract:Objective To explore the treatment of ankle fracture combined with abruption of lower tibiofibular ligament union.(Methods)53 cases of ankle joint fracture combined with abruption of lower tibiofibular ligament union.All the patients were fixed with cancellous bone screw.Results All the patients were followed up for 6-39months.According to the Baird-Jackson Scoring,excellent in 37,good in 11,fair in 4,poor in 1,excellent and good rate was 90.5%.Conclusion Anatomic relation of the talus is key point for ankle fracture combined with abruption of lower tibiofibular ligament union,stable internal fixation and exercises early can avoid the occurrence of traumatic osteoarthritis.
Keywords:Ankle joint  Fractures  Abruption of lower tibiofibular ligament union  Internal fixation
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