暴力致下胫腓关节分离的处理(附24例报告)

The Treatment of The Detached Infratibiofibular Joint Caused by Violence (Report of Twenty-four Cases)

目的 :探讨暴力致下胫腓关节分离的损伤机制及骨螺栓在治疗下胫腓关节分离的临床应用价值。方法 :对1994～ 1999年 2 4例下胫腓联合分离患者 ,综合分析损伤机制 ,进行手术复位、骨螺栓固定术 ,术后早期功能练习。结果 :所有 2 4例患者均获得随访 ,6～ 8周去除螺栓后 ,踝穴稳定 ,踝关节功能无障碍。结论 :踝关节多因暴力致下胫腓联合分离 ,常合并有踝关节骨折 ,骨螺栓固定治疗胫腓联合分离 ,固定可靠 ,并发症少 ,有利于踝关节早期负重和功能练习。

Objective: To investigate the injury mechanism of the detached infratibiofibular joint caused by violence,and the clinical application value of bone bolt in the surgical treatment.Methods:To make a comprehensive analysis of the injury mechanism of 24 patients(1994～1999) with the detached infra tibiofibular joint,at the base of this,make operative reduction and bone bolt fixation in operation,and make functional exercises in the earlier period after operation.Results:All 24 patients were followed up,bone bolt removed at 6 to 8 weeks after operation;the ankle joint was stable,the function of the ankle joints hadn't any disturbance.Conclusions:Violence results in the detached infra tibiofibular joint,which often associated with the fracture of the ankle joints;bone bolt fixation is efficient in treating the detached infra tibiofibular joint,with few complications,and help to make a weight loading and functional exercises in the earlier period after operation.