下胫腓关节分离8例治疗体会

The next shin fei joint separates 8 example treatment experience

手术治疗8例下胫腓关节分离5例合并有内踝骨折，4例合并有外踝骨折。显露下胫腓关节，将腓骨推入胫骨的沟槽中，从而使腓骨和距骨移向内侧，回到正常位置，不必缝合或重建韧带的连接。保持踝关节背屈30度住。距踝关节面近端1—1．5cm横行穿入一颗螺钉，经腓骨进入胫骨，术后用石膏管型固定，经随访，13～25个月，平均17个月，6例效果优良。2例出现行走时患踝疼痛，足背屈受限，螺钉折断，未见胫腓关节再分离病例。

The surgery treats under 8 examples the shin fei joint to separate 5 example merges to have the protuberance of the ankle bone fracture, 4 example merges have the protuberance of the ankle bone bone fracture. Revealed that under the shin fei joint, thrusts the fibula the shinbone in the trench, thus causes the fibula and the ankle bone carries over the inside, returns to the normal position, does not need to suture or the reconstruction ligament＇s connection. Maintains the malleolus joint back bends 30 degrees positions. Is apart from malleolus facies articularis near--end 1--1.5cm to run amuck penetrates a bolt, enters the shinbone after the fibula, after the technique, casts fixedly with the gypsum, after the revisit, 1325 months, the average 17 months, 6 example effects is fine. 2 examples have walks when the trouble malleolus ache, dorsum pedis Qu Shouxian, the bolt break off, has not seen the shin fei joint to separate the case again.