| 下胫腓联合损伤的诊治 |
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Received:July 14, 2004
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| 作者 | Author | 单位 | Unit | E-Mail |
| 孙建峰 |
SUN Jian-feng |
中国中医研究院西苑医院骨科 北京100091 |
Department of Orthopaedics,Xiyuan Hospital,China Academy of Traditional Chinese Medicine,Beijing,100091,China |
simthsun@ sohu?? com |
| 韩斌 |
HAN Bin |
中国中医研究院西苑医院骨科 北京100091 |
Department of Orthopaedics,Xiyuan Hospital,China Academy of Traditional Chinese Medicine,Beijing,100091,China |
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| 邓磊 |
DENG Lei |
中国中医研究院西苑医院骨科 北京100091 |
Department of Orthopaedics,Xiyuan Hospital,China Academy of Traditional Chinese Medicine,Beijing,100091,China |
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| 刘沂 |
LIU Yi |
北京积水潭医院 |
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| 顾敏琪 |
GU Min-qi |
中国中医研究院西苑医院骨科 北京100091 |
Department of Orthopaedics,Xiyuan Hospital,China Academy of Traditional Chinese Medicine,Beijing,100091,China |
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| 李治斌 |
LI Zhi-bin |
中国中医研究院西苑医院骨科 北京100091 |
Department of Orthopaedics,Xiyuan Hospital,China Academy of Traditional Chinese Medicine,Beijing,100091,China |
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| 罗运超 |
LUO Yun-chao |
中国中医研究院西苑医院骨科 北京100091 |
Department of Orthopaedics,Xiyuan Hospital,China Academy of Traditional Chinese Medicine,Beijing,100091,China |
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| 期刊信息：《中国骨伤》2005年18卷，第4期，第198-200页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨下胫腓联合损伤的诊断及治疗方法。
方法:切开复位内固定手术治疗下胫腓联合损伤的踝关节骨折33例。按照LaugeHansen分型:旋后外旋型Ⅳ度8例;旋前外展型Ⅲ度(Dupuytren骨折)4例;旋前外旋型Ⅲ度13例,Ⅳ度8例,其中Maisonneuve骨折4例。
结果:随访6个月～4年,平均15个月。根据BairdJackson评分标准对其术后疗效进行评定:优16例,良15例,可2例。
结论:下胫腓联合是维系踝关节的重要解剖结构,下胫腓联合损伤影响到踝关节的稳定性时应手术治疗,确保下胫腓联合得到解剖性修复。 |
| [关键词]:下胫腓联合损伤 踝关节 骨折固定术,内 |
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| Diagnosis and treatment for the injuries of lower tibiofibular ligament union |
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Abstract:
Objective:To explore the methods for diagnosis and treatment of the injuries of lower tibiofibular ligament union.
Methods:A retrospective study on 33 patients,with injuries of lower tibiofibular ligament union were treated with internal fixation of open reduction.According to the system of Lauge-Hansen,the fractures were classified into supination-external rotation grade Ⅳ in 8 cases,pronation-abduction grade Ⅲ in 4 cases (Dupuytren’s fracture),pronation-external rotation grade Ⅲ injury in 13 cases and grade Ⅳ in 8 cases (included Maisonneuve fracture 4 cases).
Results:The following-up period was from 6 months to 4 years,with an average of 15 months.All patients were evaluated with Baird and Jackson ankle scoring system,16 cases got excellent result,15 good,2 fair.
Conclusion:The lower tibiofibular ligament union is an important anatomical structure of ankle joint.It must be treated by operation if the ankle joint has been unstable after injury.Operative treatment can ensure the lower tibiofibular ligament union obtaining anatomical reparation. |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 孙建峰,韩斌,邓磊,刘沂,顾敏琪,李治斌,罗运超.下胫腓联合损伤的诊治[J].中国骨伤,2005,18(4):198~200 |
| 英文格式: | SUN Jian-feng,HAN Bin,DENG Lei,LIU Yi,GU Min-qi,LI Zhi-bin,LUO Yun-chao.Diagnosis and treatment for the injuries of lower tibiofibular ligament union[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(4):198~200 |
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