阔筋膜结合锚钉治疗腓骨肌腱滑脱疗效观察  

Treatment of peroneal tendon dislocation with fascia lata combined with the anchors

作　　者：贾永鹏[1] 王朝阳[1] 吴兴旺[1] 彭林[1] 

机构地区：[1]中国人民解放军第98医院全军创伤骨科重建修复中心,浙江湖州313000

出　　处：《中国骨伤》2016年第4期373-375,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的 ：探讨应用锚钉结合阔筋膜治疗腓骨肌腱滑脱。方法 ：自2011年2月至2014年3月采用自体阔筋膜条编织后结合带线锚钉重建腓骨肌腱上支持带治疗腓骨肌腱滑脱12例,其中男9例,女3例;年龄14-23岁,平均17岁。术前均存在踝关节疼痛,不能剧烈运动。结果 ：12例患者切口全部甲级愈合,无感染、不愈合。所有患者定期复查,随访时间6个月-3年,平均18个月。术后踝关节疼痛明显好转,运动功能恢复,踝关节功能应用Mazur踝关节症状与功能评分系统评分,平均（91.92±3.17）分。结论：阔筋膜结合锚钉治疗腓骨肌腱滑脱具有取材区创伤小,操作简单,术后功能恢复满意的良好效果。Objective：To investigate the anchors combined with fascia lata for the treatment of peroneal tendon dislocation. Methods：From February 2011 to March 2014,12 patients（9 males and 3 females,ranging in age from 14 and 23 years old with an average of 17 years old） were treated with the autologous knitted fascia lata combined with anchor to reconstruct the superior peroneal retinacula for the treatment of peroneal tendon dislocation. All the patients had ankle pain,can＇t strenuous exercise before the surgery. Results：All wounds were healed well without infection,nonunion. The patients were followed up from 6 months to 3 years with an average time of 18 months. The ankle pain was significantly improved after surgery,and the motor function recovered. The function of the ankle was evaluated by Mazur score,the average score was91.92 ±3.17. Conclusion：The fascia lata combined with anchor has the advantages of small trauma,simple operation and satisfactory recovery.

关 键 词：腓骨 韧带 阔筋膜 锚钉 

分 类 号：R683.420.4[医药卫生—骨科学]