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Simple skin flap transfer was done in 17 cases, while in 1 case composite transfer including tendons and the interphalangeal joint was carried out.

对18例手指组织缺损的患者,在第二足趾侧设计皮瓣移植于手指组织缺损处,其中各1例皮瓣中携带肌腱和指间关节复合组织移植修复。

Objective To summarize the effectiveness of the disruption of tibiafibular joint combined with malleolar fracture.

目的 总结合并下腓联合分离的踝关节骨折手术治疗的效果。

The good effect of operated treatment is available on the disruption of tibiafibular joint malleolar fracture.

手术复位是治疗合并下腓联合分离的踝关节骨折的必要选择,正确的复位顺序、合适的手术入路及固定方法是取得良好复位的关键。

Key words:disruption of tibia fibular joint;malleolar fracture;surgical treatment

目的 总结合并下腓联合分离的踝关节骨折手术治疗的效果。

Key words:disruption of tibiafibular joint;malleolar fracture;surgical treatment

目的 总结合并下腓联合分离的踝关节骨折手术治疗的效果。

Surgical Treatment on the Disruption of Tibia??fibular Joint Combined with Malleolar Fracture

目的 总结合并下腓联合分离的踝关节骨折手术治疗的效果。

BACKGROUND: Posterior tibial nerve block has traditionallybeen performed in the para-medial malleolar area without nervestimulator guidance.

背景:在没有神经刺激器引导的情况下,后神经阻滞传统是在旁正中踝区域完成的。

Up outcomes were determined using Olerud′s criteria,which revealed that 36 patients were excellent,13 good,3 fair.Conclusion The good effect of operated treatment is available on the disruption of tibia??fibular joint malleolar fracture.

手术复位是治疗合并下腓联合分离的踝关节骨折的必要选择,正确的复位顺序、合适的手术入路及固定方法是取得良好复位的关键。

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.

对20例踝关节骨折伴下腓韧带分离患者按Bonnin分度法,Ⅱ12例,Ⅲ度8全和加压松质骨螺钉内固定术,使踝穴结构恢复正常。

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.

对20例踝关节骨折伴下腓韧带分离患者按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。

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