摘要
踝上截骨术是治疗内翻性踝关节炎的重要保踝术式,目前在手术上尚存许多争议,除了骨性手术外,软组织平衡越来越受到重视。踝关节内侧三角韧带、外侧副韧带、跟腱及其他腱性结构对于维持踝关节稳定和活动度十分重要。本文就软组织平衡这个问题进行详细地阐述,以期为踝上截骨术的成功开展提供参考。
Supramalleolar osteotomy is an important joint-preserving operation in the treatment of varus ankle osteoarthritis,but there are still many contrpversies in operating procedures.Soft tissue procedure is coming into focus except the bone procedures.The balance of the medial triangular ligament,lateral collateral ligament and Achilles tendon is very important to maintain the stability of the ankle joint.This paper expatiates on this problem in detail,so as to provide a reference for the successful procedure of supramallolar osteotomy.
作者
李振东
施忠民
Li Zhendong;Shi Zhongmin(Department of Orthopedics,Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233,China)
出处
《国际外科学杂志》
2020年第7期433-436,共4页
International Journal of Surgery
基金
国家科技部重点研发计划(2018YFC2001500)
上海市“科技创新行动计划”生物医药领域科技支撑项目(19441902400)
上海市“国内科技合作领域和长三角科技联合攻关领域”项目(18495800600)
上海交通大学医工交叉研究基金项目(YG2017MS11)。
关键词
外侧韧带
踝
跟腱
骨关节炎
截骨术
Lateral ligament
ankle
Achilles tendon
Osteoarthritis
Osteotomy