Objective： To study the influence of distal tibiofibular synostosis on ankle function. Methods： Prom October 1998 to October 2004, a total of 281 consecutive patients underwent operations because of ankle fractures ...Objective： To study the influence of distal tibiofibular synostosis on ankle function. Methods： Prom October 1998 to October 2004, a total of 281 consecutive patients underwent operations because of ankle fractures or distal fractures of the tibia and fibula. Distal tibiofibular synostosis occurred after operation in 8 patients. The duration of follow-up averaged 20.6 months （14-44 months）. The ankle function was assessed on the basis of functional rating system described by Mazur. Results： According to Mazur＇s ankle evaluation system, 4 patients achieved an excellent result, 2 a good result and 2 a fair result. The dorsiflexion of the synostosis ankle reduced by 8.26 degrees as compared with that of the contralateral ankle, and there was little influence on the plantar flexion. All the patients had a normal gait. Conclusion： The distal tibiofibular synostosis after the operation of ankle fractures or distal fractures of the tibia and fibula usually gives rise to few symptoms and needs no specific treatment.展开更多
Objective:To introduce the experience of treating fracture of both tibia and fibula with micro-invasive percutaneous plate internal fixation through fracture site approach. Methods:The data of 15 patients(11 males and...Objective:To introduce the experience of treating fracture of both tibia and fibula with micro-invasive percutaneous plate internal fixation through fracture site approach. Methods:The data of 15 patients(11 males and 4 females),including 14 adults(aged 22-73 years,mean=40 years)and 1 child(aged 10 years),with fracture of both tibia and fibula were studied retrospectively in this study.A small incision was made at the fracture site of tibia.Then reposition was made under direct vision,and internal fixation was employed with steel plates inserting through the small incision. Results:Anatomical reduction was obtained.No complication was found.Union occurred on time in 14 patients.One case healed after a second operation. Conclusions:Micro-invasive percutaneous plate internal fixation is beneficial to the healing of bone and soft tissues.Without X-ray examination,it is also easy to reach anatomical reduction and make tibial internal fixation with both plates with micro-invasive percutaneous plate internal fixation.展开更多
文摘Objective： To study the influence of distal tibiofibular synostosis on ankle function. Methods： Prom October 1998 to October 2004, a total of 281 consecutive patients underwent operations because of ankle fractures or distal fractures of the tibia and fibula. Distal tibiofibular synostosis occurred after operation in 8 patients. The duration of follow-up averaged 20.6 months （14-44 months）. The ankle function was assessed on the basis of functional rating system described by Mazur. Results： According to Mazur＇s ankle evaluation system, 4 patients achieved an excellent result, 2 a good result and 2 a fair result. The dorsiflexion of the synostosis ankle reduced by 8.26 degrees as compared with that of the contralateral ankle, and there was little influence on the plantar flexion. All the patients had a normal gait. Conclusion： The distal tibiofibular synostosis after the operation of ankle fractures or distal fractures of the tibia and fibula usually gives rise to few symptoms and needs no specific treatment.
文摘Objective:To introduce the experience of treating fracture of both tibia and fibula with micro-invasive percutaneous plate internal fixation through fracture site approach. Methods:The data of 15 patients(11 males and 4 females),including 14 adults(aged 22-73 years,mean=40 years)and 1 child(aged 10 years),with fracture of both tibia and fibula were studied retrospectively in this study.A small incision was made at the fracture site of tibia.Then reposition was made under direct vision,and internal fixation was employed with steel plates inserting through the small incision. Results:Anatomical reduction was obtained.No complication was found.Union occurred on time in 14 patients.One case healed after a second operation. Conclusions:Micro-invasive percutaneous plate internal fixation is beneficial to the healing of bone and soft tissues.Without X-ray examination,it is also easy to reach anatomical reduction and make tibial internal fixation with both plates with micro-invasive percutaneous plate internal fixation.
