四川医学2011，Vol.32Issue(11)：1786-1788,3.
踝关节骨折合并下胫腓联合分离的手术治疗探讨
The discussion on therapies for malleolar fracture with distal tibiofibular syndesmosis separation
摘要
Abstract
Objective To discuss the therapies for malleolar fracture vnth distal tibiofibular syndesmosis separation. Methods Retrospective analysis the surgery on 39 patients who had malleolar fracture with distal tibiofibular syndesmosis separation from Mar2005 to Aug 2010. After the reduction of fracture, we gave strong internal Gxtion with plate in lateral malleolus, cancellous screw fixtion in medial malleolus and hock, cortical screw to fix the distal tibiofibular syndesmosis separation. After surgery direct patients have non-weight-bearing exercise prophaae and 12 weeks before weight-bearing walk remove the screw to fix the distal tibiofibular syndesmosis separation. Results All patients were followed average 38 months (5-58 months) - Based on VAS score to the fracture, 32 patients were no pain ( score 0) 6 patients were little pain (score I ~3) and only one patient was midrange pain (score 4 -6). We use the AOFAS score system to evaluate the function level, excellent were 30 and good were 9-The good rate was 100%. All patient did not show distal tibiofibular syndesmosis separation again. Conclusion The keys to improve the therapies for malleolar fracture are accurate anatomic reduction, strong internal fixation and non-weight-bearing exercise prophase.关键词
踝关节/骨折/下胫腓联合/手术治疗Key words
malleolar/ fracture/ distal tibiofibular syndesmosis/therapy分类
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张旭凯..踝关节骨折合并下胫腓联合分离的手术治疗探讨[J].四川医学,2011,32(11):1786-1788,3.
