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腓骨骨膜-筋膜瓣移位治疗慢性踝关节不稳的临床应用
引用本文:覃伟明,刘伯泉,瞿东滨.腓骨骨膜-筋膜瓣移位治疗慢性踝关节不稳的临床应用[J].中国临床解剖学杂志,2004,22(4):437-438.
作者姓名:覃伟明  刘伯泉  瞿东滨
作者单位:1. 佛山市三水区人民医院骨科,广东,三水,528100
2. 第一军医大学南方医院骨科,广州,510515
摘    要:目的:报道自体腓骨骨膜—筋膜瓣移位治疗慢性踝关节不稳的方法及疗效。方法:5例慢性踝关节外侧不稳患者接受手术治疗,将腓骨骨膜—筋膜的中下1/3向下游离至近关节囊部,保留下端血供,分成两瓣,分别修复距腓前韧带和跟腓韧带。结果:随访6~18个月,5例患者临床症状明显改善,摄X线片检查踝关节稳定性恢复良好,临床疗效满意。结论:采用自体腓骨骨膜—筋膜瓣移位治疗慢性踝关节不稳方法简便,疗效确切。

关 键 词:腓骨  骨膜瓣  踝关节  关节不稳
文章编号:1001-165X(2004)04-0437-02
修稿时间:2004年2月26日

Clinical application of fibular periosteal-fascial flap in treatment of chronic ankle instability
QIN Wei-ming,LIU Bo-quan,QU Dong-bin.Clinical application of fibular periosteal-fascial flap in treatment of chronic ankle instability[J].Chinese Journal of Clinical Anatomy,2004,22(4):437-438.
Authors:QIN Wei-ming  LIU Bo-quan  QU Dong-bin
Institution:QIN Wei-ming,LIU Bo-quan,QU Dong-bin. Department of Orthopedic Surgery,People's Hospital of Sanshui District,Fuoshan 528100,China
Abstract:To report the surgical procedure and clinical efficacy of autologous fibular periosteal-fascial flap in treatment of chronic ankle instability. Methods: Five patients with chronic ankle instability were treated by reconstruction of lateral ligaments with autologous fibular periosteal-fascial flap. The flap was freed from the lower one thirds part of fibula to the ankle joint, and the end was kept in place to retain the blood supply. Then the flap was divided into two parts to repair anterior talofibular ligament and calcaneofibular ligament, respectively. Results: All five patients were followed-up for six to eighteen months, with complete resolve of clinical symptoms. X-ray examinations showed the satisfactory recovery of ankle stability. Conclusions: The procedure of treatment of chronic ankle instability with antulogous fibular periosteal-fascial flap is rather simple and has definitely better clinical results.
Keywords:ankle  fibula  periosteal flap  joint instability
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