陈旧性下胫腓联合损伤:我们能做些什么?

Chronic syndesmosis injury: What can we do?

陈旧性下胫腓联合损伤一直以来都是足踝创伤领域的一大难点, 常由于延误诊治和初次手术时处理不当所致, 远期创伤性关节炎的发病率及致残致畸率高, 因此仍需要积极干预。目前陈旧性下胫腓联合损伤的治疗技术虽然众多, 但是仍要根据患者分型、症状、功能要求及关节炎情况选择最优化的治疗方案, 以最大程度缓解症状、保留功能及提高生活质量。本文将对陈旧性下胫腓联合损伤的诊断及治疗作一概述。

Chronic syndesmosis injury is of great difficulty in foot and ankle trauma with a high post-traumtaic arthritis morbidity,deformity and disability rate,which is always caused by a delayed management or improper initial surgical treatment,and need an active intervention.Currently,various of treatment technique for chronic syndesmosis injury has been described,however,the optimal strategy should be determined by patient′s classification,symptoms,activity demands and severity of arthritis to maximally relieve the symptoms,preserve functions and improve the life quality.This article will overview the diagnosis and management of chronic syndesmosis injury in this article.