下胫腓联合损伤的诊疗进展  

Diagnosis and treatment progress of distal tibiofibular syndesmosis injuries

作　　者：韩龙 张志鹏 郑钧 吕惠成[1] Han Long;Zhang Zhipeng;Zheng Jun;Lyu Huicheng(Area B,Trauma Surgery Center,the Second Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010000,China)

机构地区：[1]内蒙古医科大学第二附属医院创伤外科中心B区,呼和浩特010000

出　　处：《创伤外科杂志》2025年第4期314-318,共5页Journal of Traumatic Surgery

摘　　要：下胫腓联合损伤常并发踝关节损伤,其致伤机制复杂。诊断主要依靠临床体征、影像学等多手段联合,关节镜也因其直接、准确的特性逐渐成为诊断下胫腓联合损伤的金标准。治疗方面,对关节不稳定者常需手术干预。目前,螺钉固定仍为主流,但带袢钛板、Nice结等弹性固定方式因其更符合下胫腓的微动生理特性也逐渐被广泛应用。当下,对其诊疗进展的研究聚焦于精准诊断技术与优化治疗策略。本文通过查阅近年来相关文献,对下胫腓联合损伤的诊疗进展进行综述。Injury to the distal tibiofibular syndesmosis often combines with ankle joint injuries following complex injury mechanisms.Its diagnosis mainly relies on a combination of multiple means such as clinical signs,imaging exams,and arthroscopy(golden standard due to the convenient direct view and accuracy).In terms of treatment,surgical intervention is often required for such patients with joint instability.Currently,screw fixation remains the mainstream,and various elastic fixation methods like titanium plates with loops and Nice knots are also widely used in clinical practice.This article reviews the diagnostic and treatment methods for distal tibiofibular syndesmosis injuries.

关 键 词：下胫腓联合损伤 诊断 治疗 弹性固定 

分 类 号：R683.42[医药卫生—骨科学]