中国骨伤2012，Vol.25Issue(7)：605-606,2.DOI:10.3969/j.issn.1003-0034.2012.07.019
创伤性上胫腓关节脱位
Traumatic dislocation of superior tibiofibular joint
方伟松 1罗聪 1邵汝谊 1周建明 1石高才 1卢焕兴 1楼才俊1
作者信息
- 1. 诸暨市人民医院骨科,浙江诸暨311800
- 折叠
摘要
Abstract
Objective:To explore the characteristics,diagnosis and treatment on traumatic dislocation. Methods:From April 2000 to August 2010,12 patients with acute traumatic dislocation of superior tibiofibular joint were treated including 10 males and 2 females with an average age of 30.6 years old ranging from 18 to 60 years. According to Ogden classification,8 cases were the anterolateral dislocation,2 were posterior-medial dislocation,and 2 were upward dislocation. AU patients had swelling in lateral-inferior of knee, fibular head prominent, fibular head pain, floating feeling in head of fibula. One case was treated by conservative treatment,and the remaining 11 cases by surgical treatment. Results: All patients were followed-up for 10 months to 3 years (means 18 months). Evaluation by Lysholm scoring,the total scores were 95.08±2.02,involving limbing 4.92±0.28,support 4.92±0.28,interlocking 15.00±0.00,instability 24.58±0.79,pain 22.50±1.24,swell 8.50±0.90,climbing stairs 9.75 ±0.62, squatting 4.92±0.28; 11 cases achieved excellent results and 1 good. Nerve functional recovered. X-ray was no longer dislocation. Conclusion: The diagnosis of traumatic dislocation is easy misseddiagnosis, surgery is the main treatment method, the prognosis is good.关键词
上胫腓关节/脱位/外科手术Key words
Superior tibiofibular joint/Dislocations/Surgical procedure, operative引用本文复制引用
方伟松,罗聪,邵汝谊,周建明,石高才,卢焕兴,楼才俊..创伤性上胫腓关节脱位[J].中国骨伤,2012,25(7):605-606,2.
