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手术治疗外展外旋力所致踝关节骨折

Hits: 2137 Download times: 1225 Received:September 01, 1994

作者	Author	单位	Unit	E-Mail
彭阿钦	Peng A-qin	河北医学院附属第三医院	Third Hospilal,Hebei College of Medical Science Shijiazhang 050051
张英泽	Zheng Wing-ze	河北医学院附属第三医院	Third Hospilal,Hebei College of Medical Science Shijiazhang 050051
吴希瑞	Wu Xi-rui	河北医学院附属第三医院	Third Hospilal,Hebei College of Medical Science Shijiazhang 050051
赵昌平		河北医学院附属第三医院	Third Hospilal,Hebei College of Medical Science Shijiazhang 050051
李衡		河北医学院附属第三医院	Third Hospilal,Hebei College of Medical Science Shijiazhang 050051

期刊信息：《中国骨伤》1996年9卷，第1期，第11-12页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

手术治疗外展外旋力引起的踝关节骨折35例,平均随访2年半,满意率为88.6%.效果不佳者与软组织损伤严重和关节软骨受损有关。恢复腓骨的长度对防止距骨移位与倾斜十分重要。用钢板固定外踝时要使其下端适应腓骨下段的外翻角。下胫腓联合不论是完全还是不全分离,都应用螺钉固定,以增加踝关节稳定性,早期练习活动。三角韧带断裂时,只要腓骨解剖复位与坚强固定,三角韧带可不予修复。对小于胫骨远端关节面25%的后踝骨折可不予处理。

[关键词]:踝关节骨折手术

Operative treatment of eaternal rotation abduction fractures of the ankle

Abstract:Thirty five cases of ankle fracture caused by external rotation abduction force were operated. The average follow-up was 2.5 years,the rate of satisfactory being 88.6%. The most severe soft tissue injuries and damage to the articular cartilage resulted in less sarisfactory results. Restoration of the fibular length was important to prevent talar shift and tilt. During steel plate fixation of lateral malleolus,the lower end should fit enersion of lower segment of the fibula. No matter whether the disruption of the syndesmosis was tomplete or incomplete,the suprasyndesmotic screw was necessary to increase hte stability of ankle joint. Early exercise is necessary. Repairment of ruptured deltoid figment is not necessary,if fibula is anatomical reducted and rigid fixed. The posterior malleolar fracture.no treatment is required if it involved less than 25% of distal end of tibia.

KEYWORDS:Operation Fracture Ankle joint

引用本文，请按以下格式著录参考文献：

中文格式:	彭阿钦,张英泽,吴希瑞,赵昌平,李衡.手术治疗外展外旋力所致踝关节骨折[J].中国骨伤,1996,9(1):11~12
英文格式:	Peng A-qin,Zheng Wing-ze,Wu Xi-rui.Operative treatment of eaternal rotation abduction fractures of the ankle[J].zhongguo gu shang / China J Orthop Trauma ,1996,9(1):11~12

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