手术治疗伴有三角韧带断裂的踝关节骨折12例体会

目的：探讨伴有三角韧带断裂的踝关节骨折手术修补三角韧带的必要性。方法：首先取外踝后外侧切口，显露外踝或腓骨中下段骨折，解剖复位外踝骨折，用前臂窄加压钢板固定，然后取内踝由前向后“L”型切口，分别显露三角韧带浅层及深层。韧带体断裂者，先采用粗丝线穿过断端二侧直接缝合，如果三角韧带起点或止点断裂可在内踝或距骨上钻孔，用锚钉将韧带固定于骨组织上。结果：12例术后均得到随访，随访时间12～16个月，检查踝关节活动良好，行走无疼痛，外翻外旋应力，X线片显示胫距关节间隙正常。结论：三角韧带对踝关节稳定起着十分重要的作用。在确诊三角韧带断裂时，应以手术修补治疗为好。

The surgery treats is accompanied by three jiao ligament breaks the malleolus joint bone fracture 12 example experience

Objective：Discusses is accompanied by three jiao ligament breaks the malleolus joint bone fracture surgery to patch three j iao ligament＇s necessities. Methods：After preoccupies the protuberance of the ankle bone, the flank margin, revealed that in the protuberance of the ankle bone or the fibula the lower segment bone fracture, the dissection replacement protuberance of the ankle bone bone fracture, is fixed with the forearm narrow compression steel plate, then takes the protuberance of the ankle before after ＂L＂ the margin, reveals three jiao ligament shallow layers and in-depth separately. The ligament body break, uses the thick silk thread to pass through first breaks the end two sides to suture directly, if three jiao ligament beginnings either stop the break to be possible drill a hole on the protuberance of the ankle or the ankle bone, fixes with the armature the ligament in the bone tissue. Result：After 12 example techniques, obtains the revisit, the revisit time 12-16 months, inspects the malleolus joint activity to be good, walks without the ache, the eversion outward turning stress, X piece demonstration shin is apart from the joint gap to be normal. Conclusion：Three jiao ligaments are playing the very vital role stably to the malleolus joint. When diagnoses three jiao ligament breaks, should patch the treatment well take the surgery as.