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

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。

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

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。

Stable position of posterior malleolar fracture when trimalleolar fractures are treated by external fixation is dorsiflexion-neutral position.

外固定器背伸位固定治疗三踝骨折时后踝骨折稳定的最佳踝关节固定位置是背伸中立位。

Surgical Treatment on the Disruption of Tibia??fibular 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。

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。

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.

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。

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例踝关节骨折伴下胫腓韧带分离患者按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。

Two hundred and sixty-six of these patients sustained either a bimalleolar fracture or a lateral malleolar fracture with insufficiency of the deltoid ligament and widening of the medial clear space.

接受外科手术的456例不稳定踝关节骨折患者被列入数据库,所有患者取得前瞻性随访。266例患者为双踝骨折或为伴有三角韧带不稳及内侧关节间隙增宽的外踝骨折。

Objective To summarize the effectiveness of the disruption of tibia??fibular joint combined with malleolar fracture.Methods Forty??two cases were treated by operation.

治疗合并下胫腓联合分离的踝关节骨折52 例,采用钢板固定腓骨,螺丝钉固定内踝,下胫腓仍不稳定者应用单个皮质骨螺丝钉固定。

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