Disruption of the distal tibiofibular syndesmosis is frequently accompanied by rotational ankle fracture such as pronation-external rotation and rarely occurs without ankle fracture.In such injury,not only inadequatel...Disruption of the distal tibiofibular syndesmosis is frequently accompanied by rotational ankle fracture such as pronation-external rotation and rarely occurs without ankle fracture.In such injury,not only inadequately treated or misdiagnosed cases,but also correctly diagnosed cases can possibly result in a chronic pattern which is more troublesome to treat than an acute pattern.This paper reviews anatomical and biomechanical characteristics of the distal tibiofibular joint,the mechanism of chronic disruption of the distal tibiofibular syndesmosis,radiological and arthroscopic diagnosis,and surgical treatment.展开更多
A stable and precise articulation of the distal tibiofibular syndesmosis maintains the tibiofibular relationship,and it is essential for normal motion of the ankle joint.The disruption of this joint is frequently acco...A stable and precise articulation of the distal tibiofibular syndesmosis maintains the tibiofibular relationship,and it is essential for normal motion of the ankle joint.The disruption of this joint is frequently accompanied by rotational ankle fracture,such as pronation-external rotation,and rarely occurs without ankle fracture.The diagnosis is not simple,and ideal management of the various presentations of syndesmotic injury remains controversial to this day.Anatomical restoration and stabilization of the disrupted tibiofibular syndesmosis is essential to improve functional outcomes.In such an injury,including inadequately treated,misdiagnosed and correctly diagnosed cases,a chronic pattern characterized by persistent ankle pain,function disability and early osteoarthritis can result.This paper reviews anatomical and biomechanical characteristics of this syndesmosis,the mechanism of its acute injury associated to fractures,radiological and arthroscopic diagnosis and surgical treatment.展开更多
目的比较皮质骨螺钉(cortical bone trajectory,CBT)固定与带袢钢板弹性固定在老年踝关节骨折(fracture of ankle joint,FAJ)下胫腓损伤患者中的应用效果。方法选取2022年8月—2023年7月菏泽骨伤医院收治的92例老年FAJ下胫腓损伤患者为...目的比较皮质骨螺钉(cortical bone trajectory,CBT)固定与带袢钢板弹性固定在老年踝关节骨折(fracture of ankle joint,FAJ)下胫腓损伤患者中的应用效果。方法选取2022年8月—2023年7月菏泽骨伤医院收治的92例老年FAJ下胫腓损伤患者为研究对象,根据不同治疗方法分为两组,各46例。对照组采用CBT固定治疗,研究组采用带袢钢板弹性固定治疗。比较两组术中与术后情况、美国足踝外科协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝与后足评分(Ankle Hindfoot Scale,AHS)、并发症发生情况。结果两组术中操作时间、术中失血量比较,差异无统计学意义(P均>0.05)。研究组部分与完全负重活动时间均短于对照组,差异有统计学意义(P均<0.05)。术后6个月时,研究组AOFAS-AHS评分为(90.02±2.65)分,高于对照组的(85.02±2.75)分,差异有统计学意义(t=8.880,P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论与CBT相比,带袢钢板弹性固定可以有效缩短老年FAJ下胫腓损伤患者的部分与完全负重活动时间,促进踝关节功能恢复。展开更多
文摘Disruption of the distal tibiofibular syndesmosis is frequently accompanied by rotational ankle fracture such as pronation-external rotation and rarely occurs without ankle fracture.In such injury,not only inadequately treated or misdiagnosed cases,but also correctly diagnosed cases can possibly result in a chronic pattern which is more troublesome to treat than an acute pattern.This paper reviews anatomical and biomechanical characteristics of the distal tibiofibular joint,the mechanism of chronic disruption of the distal tibiofibular syndesmosis,radiological and arthroscopic diagnosis,and surgical treatment.
文摘A stable and precise articulation of the distal tibiofibular syndesmosis maintains the tibiofibular relationship,and it is essential for normal motion of the ankle joint.The disruption of this joint is frequently accompanied by rotational ankle fracture,such as pronation-external rotation,and rarely occurs without ankle fracture.The diagnosis is not simple,and ideal management of the various presentations of syndesmotic injury remains controversial to this day.Anatomical restoration and stabilization of the disrupted tibiofibular syndesmosis is essential to improve functional outcomes.In such an injury,including inadequately treated,misdiagnosed and correctly diagnosed cases,a chronic pattern characterized by persistent ankle pain,function disability and early osteoarthritis can result.This paper reviews anatomical and biomechanical characteristics of this syndesmosis,the mechanism of its acute injury associated to fractures,radiological and arthroscopic diagnosis and surgical treatment.
文摘目的比较皮质骨螺钉(cortical bone trajectory,CBT)固定与带袢钢板弹性固定在老年踝关节骨折(fracture of ankle joint,FAJ)下胫腓损伤患者中的应用效果。方法选取2022年8月—2023年7月菏泽骨伤医院收治的92例老年FAJ下胫腓损伤患者为研究对象,根据不同治疗方法分为两组,各46例。对照组采用CBT固定治疗,研究组采用带袢钢板弹性固定治疗。比较两组术中与术后情况、美国足踝外科协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝与后足评分(Ankle Hindfoot Scale,AHS)、并发症发生情况。结果两组术中操作时间、术中失血量比较,差异无统计学意义(P均>0.05)。研究组部分与完全负重活动时间均短于对照组,差异有统计学意义(P均<0.05)。术后6个月时,研究组AOFAS-AHS评分为(90.02±2.65)分,高于对照组的(85.02±2.75)分,差异有统计学意义(t=8.880,P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论与CBT相比,带袢钢板弹性固定可以有效缩短老年FAJ下胫腓损伤患者的部分与完全负重活动时间,促进踝关节功能恢复。
