腓骨骨折、缺损的研究进展

A review on fracture and defect of fibula

目的:探讨腓骨骨折和切除术对踝、膝关节的影响及其治疗。方法:广泛查阅近20年有关腓骨作用的基础研究及临床文献,分析腓骨负重功能对踝、膝关节的影响,探讨腓骨骨折、缺损的治疗方法。结果:腓骨有负重功能,在腓骨骨折、缺损的治疗中应尽可能恢复腓骨的负重功能及解剖复位,以免对踝、膝关节的稳定性造成影响。结论:腓骨的生物力线及连续性的破坏对踝、膝关节的稳定性具有影响,治疗时应注意解剖复位并恢复其负重功能。

Objective： To discuss the effects of fracture and resection of fibula on the ankle and knee joint. Methods： In order to analyze the effects of load function of fibula on the ankle and knee joints and explore the treatment on fracture and defect on fibula, the basic research and clinical literature on the fibula in the past 20 years were consulted and analyzed. Results： In treating fibula fractures and defects, load function of fibula and anatomical reduction should be recoverd as far as possible, in order to avoid destroying the stability of the ankle and knee joints. Conclusion： The biological forces line and sustained damage were effective on the stability of the ankle and knee joint, and should be paid attention to the anatomic reduction and restoration of load function.