摘要
目的 探讨踝关节骨折伴下胫腓关节分离的治疗方法。方法 对20例踝关节骨折伴下胫腓韧带分离患者按Bonnin分度法,Ⅱ度12例,Ⅲ度8例采用加压松质骨螺钉内固定术,使踝穴结构恢复正常。结果 随访8～18个月,平均145个月病人踝关节功能恢复正常,优良率达85%。结论 对踝关节骨折伴下胫腓韧带分离的患者在治疗骨折的同时注意修补下胫腓韧带以恢复正常踝穴结构,避免创伤性骨关节炎发生。
Objective To explore the treatment of ankle joint fracture combined with inferior tibiofibular joint split.Methods 20 cases of ankle joint fracture with inferior tibiofibular joint split were fixed with sponge bone compression screws to restore the malleolar cave structure.Results After 8 to 18 months follow up,averaged 14.5 months,the ankle joints functions became normal.The excellent and good rate was 85%.Conclusion To fix the fracture and repair the inferior tibiofibular ligament would restore the structure of malleolar cave and avoid the occurrence of traumatic osteoarthritis.
出处
《中国骨伤》
CAS
2000年第1期21-22,共2页
China Journal of Orthopaedics and Traumatology
关键词
下胫腓韧带
踝关节
骨折
内固定
Inferior tibiofibular ligament Ankle joint Fracture fixation,internal
