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Fibular joint combined with malleolar fracture.Methods Forty?two cases were treated by operation.Results The patients were followed up for 8 to 36 months.All patients acquired bone healing.The follow?

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。

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还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,避兔创伤生骨关节炎发生。

Isolate, ligate, and divide the anterolateral malleolar and lateral tarsal arteries and carefully expose the neurovascular bundle and retract it medially.

沿切口方向切开骨膜、关节囊及滑膜,通过骨膜下及关节囊下分离,显露整个踝关节的前方。

Isolate, ligate, and diide the anterolateral malleolar and lateral tarsal arteries and carefully expose the neuroascular bundle and retract it medially.

沿切口方向切开骨膜、关节囊及滑膜,通过骨膜下及关节囊下分离,显露整个踝关节的前方。

The malleolus joint is a human body movement very important joint, is also in the movement easy to have the damage spot.

踝关节是人体运动的一个很重要的关节,也是运动中易发生损伤的部位。

Result discovery, the badminton movement damages much sprains by the joint primarily, concentrates in the human body wrist, the elbow, the shoulder and the malleolus joint and so on.

结果发现,羽毛球运动损伤多以关节扭伤为主,集中在人体的腕、肘、肩及踝关节等。

According to the ankle score of Mazur,the results were excellent in 9 cases,good in 4,fair in 2 and poor in 1,the excellent and good rate was 81.3%.

参照Mazur制定的踝关节功能评分标准,优9例,良4例,可2例,差1例。

Mazur, such as the use of the ankle developed symptoms and functional evaluation standards, two sets of data compared to assess the situation.

运用 Mazur等制定的踝关节症状与功能评定标准,对两组数据情况进行评估比较。

According Mazur scale for ankle joint,the result of the treatment was evaluated as excellent in 21 patients;good in 12 patients;fair in 8 patients and poor in 5 patients.

结果 所有患者术后均获得8~48个月的随访,平均20个月。踝关节功能按Mazur评价,优21 例,良12 例,可8 例,差5 例。

Result]All cases were followed up for 8 to 36 months (averaged, 18 months), and the results showed 25 cases excellent, 15 cases good, 3 cases fair, 2 cases poor by Mazur's criterion.

结果]术后随访8 ~ 36 个月(平均18个月),疗效评定标准采用Mazur等制定的踝关节症状与功能评分系统:优35例,良25例,可3例,差2例。

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每逢看到沃林顿那刚毅的脸,那乌黑、忧郁的眼睛,她便会相信,他一定作过不幸的爱情的受害者。

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