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双带绊纽扣钢板治疗下胫腓联合损伤的临床研究 被引量:7

Clinical study of double endobutton technique in the treatment of distal tibiofibular syndesmosis rupture
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摘要 目的探讨双带绊纽扣钢板治疗下胫腓联合损伤的疗效。方法自2008年2月~2010年1月,采用双带绊纽扣钢板治疗伴下胫腓联合损伤的踝关节骨折脱位14例。通过随访及标准的足踝功能评分,评估该治疗方法的疗效。结果 14例均获随访,随访时间13~35(16.1±2.3)个月。术后X线片均见踝穴正常。根据改良Baird-Jackson评价标准评定疗效,本组优10例,良4例。未发现有下胫腓联合固定失效现象。结论双带绊纽扣钢板治疗下胫腓联合损伤具有符合解剖生理要求、操作简单、避免手术取出等优点,避免了内固定物断裂等并发症。 Objective To discuss the surgical treatment of distal tibiofibular syndesmosis rupture with double endobutton technique.Methods From Feb.2008 to Jan.2010,fourteen patients with distal tibiofibular syndesmosis rupture were treated with double endobutton technique.According to the follow-up and Ankle-Hindfoot function score,the clinical outcomes of this method were evaluated.Results The follow-up period varied from 13 months to 35 months,with an average of 16.1±2.3 months.According to the Baird-Jackson score system,10 cases were graded as excellent,4 cases were graded as good.No fixation failure was observed.Conclusion Fixation of distal tibiofibular syndesmosis rupture with double endobutton technique may have several advantages including better consistency of physical requirements,more easy procedure,avoidance of removal and breakage of internal fixation.
作者 贾斌
出处 《创伤外科杂志》 2011年第5期410-412,共3页 Journal of Traumatic Surgery
关键词 下胫腓联合损伤 钢板 内固定 distal tibiofibular syndesmosis injury plate internal fixation
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参考文献8

  • 1Baird RA, Jackson ST. Fractures of the distal part of the fibula with sssociated disruption of the deltoid ligament treatment without repair of the deltoid ligament[J]. J Bone Joint Surg ( Am), 1987,69 ( 6 ) : 1346 - 1352.
  • 2Chissell HR,Jones J. The influence of a diastasis screw on the outconle of Weber type - C ankle fracture [ J ]. J Bone Joint Surg (Br) , 1995,77 ( 3 ) :435 - 438.
  • 3Harris J, Fallat L. Effects of isolated Weber B fibular fractures on the tibiotalar contact aera[J]. J Foot Ankle Surg, 2004,43 ( 1 ) :3 - 9.
  • 4郑华龙,吴富章,郭涛,杨军,王世江,黄俊华,丁小黎.合并下胫腓联合损伤的踝关节骨折伴脱位的手术治疗[J].临床骨科杂志,2009,12(5):588-588. 被引量:12
  • 5范磊,黄野,袁同洲.下胫腓联合损伤的诊治新进展[J].中国骨与关节损伤杂志,2008,23(11):963-965. 被引量:12
  • 6宋耀宗,孙天胜.下胫腓联合损伤螺钉内固定治疗新进展[J].中国骨伤,2009,22(12):956-958. 被引量:12
  • 7Susan MLC, Howard P, Gregory P. Syndesmosis injuries:acute,chronic, new techniques for failed management [ J ]. Foot Ankle Clin, 2002,7 (3) :770 - 775.
  • 8Thornes B, Walsh A, Hislop M, et al. Suture-endobutton fixation of ankle tibio-fibular diastasis : a cadaver study [ J ]. Food Ankle Int, 2003,24 (2) : 142 - 146.

二级参考文献49

共引文献32

同被引文献53

  • 1倪斌斌,王栋梁,戴力扬.下胫腓联合损伤[J].创伤外科杂志,2006,8(3):281-283. 被引量:11
  • 2张涛,庞桂根.下胫腓联合损伤的诊断及治疗进展[J].中国骨伤,2006,19(4):253-256. 被引量:14
  • 3范勇,蒋毅,刘磊,张传寅,周新江,胡玉平,王一剑,许庆利,王兴元,李玉军,梁钟鸣,张亮,皮剑.胫腓钩在伴下胫腓韧带损伤的踝关节骨折脱位中的应用[J].中华创伤骨科杂志,2006,8(8):791-792. 被引量:5
  • 4孙辉,罗从风.下胫腓联合损伤研究新进展[J].国际骨科学杂志,2007,28(3):143-147. 被引量:17
  • 5Ebraheim NA, Taser F, Shafiq Q, et al. Anatomical evaluation a- nd clinical importance of the tibiofibular syndesmos is ligamen- ts[J]. Surg Radiol Anat, 2006, 28(2): 142-149.
  • 6Deqroot H, AI-Omari AA, EI Ghazaly. Outcomes of suture butt- on repair of the distal tibiofibular syndesmosis[J]. Foot Ankle In- t, 2011, 32(3): 250-256.
  • 7Thomes B, Shannon F, Guiney AM, et ol. Suture-button syndes- mosis fixation: accelerated rehabilitation and improved outco- mes[J]. Clin Orthop, 2005, (431): 207-212.
  • 8Klitzman R, Zhao H, Zhang LQ, et al. Suture-button versus scre- w fixation of the syndesmosis: a biomechanical analysis[J]. Foot Ankle Int, 2010, 31(1): 69-75.
  • 9Naqvi GA, Shafqat A, Awan N. Tightrope fixation of ankle synd- esmosis injuries: Clinical outcome, complications and techni-que modification[J]. Injury, 2012, 43(6): 838-842.
  • 10Beumer A,Vanhemert WL,Swierstra BA,et al. A biomechanical e- valuation of the tibiofibular and tibiotalar ligaments of the ankle [ J ]. Foot Ankle Int ,2003,24( 5 ) :426 -429.

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