临床骨科杂志2018，Vol.21Issue(1)：86-89,4.DOI:10.3969/j.issn.1008-0287.2018.01.034
下胫腓联合损伤螺钉内固定治疗的影像学研究
The radiographic study of screw internal fixation for syndesmosis injuries
李业 1张超 1贺韬 1李亘 1宋辉 1董宇启1
作者信息
- 1. 上海交通大学医学院附属仁济医院骨科,上海 200120
- 折叠
摘要
Abstract
Objective To study the best path for inserting syndesmosis positioning screw in 3 different axial plane proximal to the coronal plane of the ankle,to provide a more intuitive and less complicating reference for syndesmosis fixation. Methods CT scans in the opposite side of 100 single lower limb injury patients were examined and meas-ured by image measurement software in axial plane of 2 cm,3 cm and 5 cm proximal to the talar dome in neutral posi-tion of the ankle,and to find out the best syndesmosis screw inserting route passing through the two centroids of the tibia and fibula,and to study the relation between the route and the lateral cortical apex of the fibula,along with the angle between the route and the horizontal. Results In the 100 cases of imaging data, the best syndesmosis screw inserting route located on the lateral cortical apex of the fibula in the axial plane of 2 cm and 10.95°± 4.52° posterior to the horizontal;the route located 1.15 mm ± 0.35 mm posterior to lateral apex of the fibula in the axial plane of 3 cm and 13.74°± 4.42° to the horizontal;the route located 2.65 mm ± 1.05 mm posterior to the lateral apex of the fibula in the axial plane of 5 cm and 17.07°± 4.96° to the horizontal,with no gender correlation(P>0.05). Con-clusions The lateral apex of the fibula plays a very important role in locating the syndesmosis screw inserting point, and this study can provide more convenience along with higher accuracy for syndesmosis screw fixation.关键词
踝关节/放射摄影术/下胫腓联合损伤/下胫腓定位螺钉Key words
ankle/radiography/syndesmosis injuries/syndesmosis positioning screw分类
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李业,张超,贺韬,李亘,宋辉,董宇启..下胫腓联合损伤螺钉内固定治疗的影像学研究[J].临床骨科杂志,2018,21(1):86-89,4.
