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运动员踝关节骨折脱位及下胫腓分离的治疗
引用本文:苏瑞芬,敖英芳,田得祥.运动员踝关节骨折脱位及下胫腓分离的治疗[J].中国运动医学杂志,1993(4).
作者姓名:苏瑞芬  敖英芳  田得祥
作者单位:八一体工队卫生科,北京医科大学运动医学研究所,北京医科大学运动医学研究所 进修医师 导师,100083,100083
摘    要:本文报告了运动损伤所致踝关节骨折,脱位及合并下胫腓分离48例的治疗结果,重点对运动员下胫腓关节分离的处理原则,治疗方法及创伤性骨关节炎的防治进行了分析探讨,同时阐述了踝关节骨折、脱位的治疗原则。针对运动员对踝关节稳定性要求较高的特点,建议运动员不稳定踝关节骨折,合并严重的韧带断裂及下胫腓分离应尽早手术,切开复位内固定治疗。

关 键 词:踝关节骨折  下胫腓分离  治疗原则  踝关节稳定

THE TREATMENT OF SPORTSMEN'S FRACTURE AND DISLOCATION OF ANKLE JOINT AND SEPARATION OF DISTAL TIBIOFIBULAR JOINT
Su Ruifen,Ao Yingfang,Tian Dexiang Institute of Sports Medicine Beijing Medical University.THE TREATMENT OF SPORTSMEN''''S FRACTURE AND DISLOCATION OF ANKLE JOINT AND SEPARATION OF DISTAL TIBIOFIBULAR JOINT[J].Chinese Journal of Sports Medicine,1993(4).
Authors:Su Ruifen  Ao Yingfang  Tian Dexiang Institute of Sports Medicine Beijing Medical University
Institution:Su Ruifen;Ao Yingfang;Tian Dexiang Institute of Sports Medicine Beijing Medical University
Abstract:Fourty-eight cases of fracture and dislocation of ankle joint and separationof distal tibiofibular joint were treated. Our investigation and discussionfocused on the principles and methods of treatment of the separation of dis-tal tibiofibular joint and the prevention of traumatic osteoarthritis while theprinciples of treatment of fracture and dislocation of ankle joint were ex-pounded. Considering that sportsmen require better stability of ankle joint thanordinary men, we suggest that the sportsmen's unstable fractures of anklejoint, fractures combined with serious rupture of ligament or separation ofdistal tibiofibular joint should be treated by surgery with interfixation.
Keywords:fracture of ankle joint  separation of distal tibiofibular joint  principle of treatment  dislocation of ankle joint
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