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踝关节

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MethodsSix-health subjects performed ankle dorsiflexion and planter flexion.

方法健康受试者6人,分别进行踝关节背屈和跖屈运动,同时用1.5 T fMRI行头颅扫描。

All the clinical flaps survived and ambulation of the patients recovered. The dorsiflexion and plantarfiexion of the ankles reached 11.0°±1.4° and 35.0°±4.6° respectively.

临床应用治疗的12例患者均获得4个月~12年随访,皮瓣全部成活,行走功能恢复,踝关节活动度为背伸11.0°±1.4°,坏屈35.0°±4.6°。

Ankle- joint fractures and loosening of epiphyseal plates should be excluded.

踝关节的骨折和关节错位不在此流程讨论之中完毕,休息去了。。。

The following observation time was 1~3 years ,average 20 months .All fractures were ostcal concrescence. Two cases were evaginate about 5 degree. Three cases were open injury and needed flap grafting rehabilitation because skin and soft tissue were compressed severely and necrotized.

结果]术后78例均获得随访,随访1~3年,平均20个月,所有骨折均骨性愈合,2例有约5°左右外翻,3例开放损伤患者因皮肤、软组织挫压明显缺血坏死需Ⅱ期行皮瓣移植修复治疗,4例出现创伤性关节炎症状,需服用非甾体类抗炎药,其中1例行踝关节融合术。

All fractures were ostcal concrescence. Two cases were evaginate about 5 degree. Three cases were open injury and needed flap grafting rehabilitation because skin and soft tissue were compressed severely and necrotized. Traumatic artharitis occurred in 4 cases,nitric oxide-releasing anti-inflammatory drug was needed. One case was treated with arthrodesis .

结果]术后78例均获得随访,随访1~3年,平均20个月,所有骨折均骨性愈合,2例有约5°左右外翻,3例开放损伤患者因皮肤、软组织挫压明显缺血坏死需Ⅱ期行皮瓣移植修复治疗,4例出现创伤性关节炎症状,需服用非甾体类抗炎药,其中1例行踝关节融合术。

Et al. described the use of an extramedullary alignment guide from

保留了踝关节的正常轮廓而且肢体短缩的程度也最小。

Many fractures have a combination of ligamentous injury and dislocation of the joint.

现就踝关节骨折的解剖、生理特点、分型、诊断及治疗进行综述。

Although ligamentous injuries about the ankle are common, at this

虽然踝关节周围韧带的损伤很常见,但目前MRI 对其

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

目的 总结合并下胫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胫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。

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