急性下胫腓关节脱位治疗的再认识  

Further Understanding of the Treatment on the Acute Dislocation of the Distal Tibiofibular Joint

作　　者：董凌岱[1] 唐爱君[1] 荆玉峰[1] 翟沂慧[1] 王佃勋[1] 

机构地区：[1]山东省青岛大学医疗集团莒县人民医院骨一科,276500

出　　处：《中国骨与关节损伤杂志》2005年第12期820-822,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨韧带等软组织的修复对治疗急性下胫腓关节脱位的必要性。方法对41例急性下胫腓关节脱位施行手术治疗,修复撕裂的下胫腓前、后韧带和三角韧带以及关节囊,复位固定内、外踝骨折和下胫腓关节,术后指导功能锻炼。结果41例中有38例得到随访,随访时间8个月～4年,平均26.2个月。内固定物去除后,38例均未出现下胫腓关节分离、距骨外移等不稳定征象,未发生创伤性关节炎。结论对下胫腓关节脱位的治疗不仅要重视骨性结构,应同样重视软组织的修复。Objective To investigate the necessity of reparation of the soft tissue such as the ligament for the treatment of the acute dislocation of the distal tibiofibular joint. Methods Operations were performed on 41 cases of acute dislocation of the distal tibiofibular joint. The anterior part and the posterior part of the tibiofibular ligament, the deltoid ligament and the torn joint capsule were repaired. Open reduction and internal fixation were performed on the fractures of the medial malleolus, lateral malleolus and the distal tibiofibular joint. The postoperative functional training was performed under guidance. Results Thirty eight cases among 41 cases were followed up, from 8 months to 4 years with the mean followed - up time of 26.2 months. The function of ankles in 38 cases was satisfying. The unstable signs of the distal tibiofibular joint and talus did not occur after removal of the internal fixation screws. The traumatic arthritis did not occur, either. Conclusion Not only the bone structure but also the reparation of the soft tissue should be emphasized in the treatment of the acute dislocation of the distal tibiofibular joint.

关 键 词：下胫腓关节 韧带 关节囊 修复 

分 类 号：R684.7[医药卫生—骨科学] R274.1[医药卫生—外科学]