腓总神经损伤致踝关节功能障碍的伤残评定结果分析

Analysis of Disability Assessment Results of Rankle Joint Dysfunction Caused by Common Peroneal Nerve Injury

目的分析48例腓总神经损伤所致的踝关节功能障碍者的伤残评定结果。方法选取2017年11月～2018年11月48例鉴定结果为"腓总神经损伤"所导致的踝关节功能障碍进行伤残程度鉴定的案例,结合肌电图检查结果和影像学检查结果,对其伤残程度评定结果进行分析。结果伤残患者以男性居多,多为交通事故所致;判断腓总神经完全损伤占29.17%,腓总神经部分损伤者占70.83%;影像学结果发现,除2例医疗事故外,腓总神经损伤并伴有股骨骨折伤者占8.69%;伴有胫骨平台呈现骨折且有同侧腓骨小头有粉碎性骨折占21.74%;伴有胫骨及腓骨呈现多处骨折占26.09%;伴有腓骨呈现多处骨折占26.09%;伴有小腿软组织因遗物残存致肌肉挫裂者占17.39%。踝关节功能鉴定发现,踝关节明显无法正常背屈,对行走功能造成严重影响者占25.00%;呈现踝关节无法正常背屈及跖屈者占25.00%;踝关节呈现背屈功能障碍,未出现跖屈功能障碍者占33.33%;未出现踝关节背屈功能及跖屈功能障碍者占16.67%。48例样本伤残评定结果中,腓总神经完全损伤者14例,其中评定达七级伤残者3例,九级伤残者11例;腓总神经部分损伤者34例,其中评定为十级伤残者33例,未达伤残标准者1例。结论腓总神经出现完全受损者最终导致的踝关节功能障碍更严重,伤残评定等级较腓总神经部分损伤者更高,另外,在对腓总神经损伤所致的踝关节功能障碍鉴定中需考虑患者的症状。

Objective To analyze the disability assessment results of 48 patients with ankle joint dysfunction caused by common peroneal nerve injury. Methods A total of 48 cases from November 2017 to November 2018 were selected for the identification of the degree of disability caused by ankle joint dysfunction caused by "surgical total nerve injury". Combined with the results of electromyography and imaging examination, The results of the assessment of disability were analyzed.Results Most of the disabled patients were male, mostly caused by traffic accidents;the total damage of the common peroneal nerve accounted for 29.17%, and the total damage of the common peroneal nerve accounted for 70.83%;except for 2 medical accidents, the imaging findings found that the common peroneal nerve The injury was accompanied by 8.69% of patients with femoral fractures;the fracture of the tibial plateau was fractured and the comminuted fracture of the ipsilateral humeral head accounted for 21.74%;the multiple fractures of the tibia and fibula accounted for 26.09%;Multiple fractures accounted for 26.09%;17.39% were associated with muscle softage caused by remnants of soft tissue in the calf. The function of ankle joint function found that the ankle joint was obviously unable to dorsiform dorsiflexion, which accounted for 25.00% of the impact on walking function;25.00% of the ankle joint could not be normal dorsiflexion and plantar flexion;the ankle joint showed dorsiflexion dysfunction, did not appear 33.33% of patients with dysfunctional dysfunction;16.67% of patients with dorsiflexion and plantar dysfunction. Of the 48 sample disability assessment results, 14 patients had complete total sacral nerve injury, including 3 patients with grade 7 disability, 11 patients with grade 9 disability, and 34 patients with sacral nerve injury, of which 10 were assessed. There were 33 cases of disability and 1 case of disability.Conclusion The ankle joint dysfunction caused by the complete damage of the common peroneal nerve is more serious. The level of disability assessment is higher than that of the total peroneal nerve injury. In addition, in the identification of ankle joint dysfunction caused by total peroneal nerve injury. The patient's symptoms need to be considered.