| 下胫腓联合损伤的诊断及治疗进展 |
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Received:July 10, 2005
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| 期刊信息：《中国骨伤》2006年19卷，第4期，第253-256页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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| 下胫腓联合损伤是一种常见的踝部损伤,通常发生在旋前-外旋和旋前-外展型踝关节骨折脱位,少部分发生在旋后-外旋型踝关节骨折脱位,也可能单独发生不伴有骨折脱位。按其损伤程度分为3型:Ⅰ型为单纯扭伤无下胫腓分离,Ⅱ型为潜在性分离,Ⅲ型为明显的分离。对于不伴有骨折和内侧结构损伤,没有造成下胫腓分离的韧带扭伤,即下胫腓联合稳定可采用保守治疗。对于伴有骨折和内侧结构损伤,下胫腓联合不稳定的病例应积极手术治疗。下胫腓联合可采用螺钉、下胫腓钩、钩板或缝扣固定,以防踝关节不稳定造成疼痛和创伤性关节炎。 |
| [关键词]:下胫腓联合损伤 诊断 临床方案 |
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| Advanced progress of dignosis and treatment on distal tibiofibular syndesmosis injury |
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| Abstract:Distal tibiofibular syndesmosis injury is a common ankle injury,it usually occur in pronation-external rotation and pronation-external abduction fracture-dislocation of ankle joint and partly occur in supination-external rotation fracture-dislocation of ankle joint.It may occur alone without fracture-dislocation.It was divided into 3 types according to degree of injury,type Ⅰ:simple sprain of syndesmosis without diastasis of tibiofibular syndesmosis;type Ⅱ: latent diastasis of tibiofibular syndesmosis;type Ⅲ:obvious diastasis of tibiofibular syndesmosis.For the patients,simple sprain of syndesmosis without fracture-dislocation(distal tibiofibular syndesmosis have stability),we can treat with conservative method.For the patients,distal tibiofibular syndesmosis injury combined with fracture-dislocation,which is instability,we should treat it with operative therapy.Distal tibiofibular syndesmosis injury can adopt lag screw,hook of distal tibiofibula,hook-plate or button-tuture to fixation preventing pain and traumatic arthritis cause by ankle instability. |
| KEYWORDS:Distal tibiofibular syndesmosis injury Diagnosis Clinical protocols |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张涛,庞桂根.下胫腓联合损伤的诊断及治疗进展[J].中国骨伤,2006,19(4):253~256 |
| 英文格式: | ZHANG Tao,PANG Gui-gen.Advanced progress of dignosis and treatment on distal tibiofibular syndesmosis injury[J].zhongguo gu shang / China J Orthop Trauma ,2006,19(4):253~256 |
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