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[1]魯建作,林央央,楊杰,等.皮質(zhì)骨螺釘內(nèi)固定治療下脛腓聯(lián)合分離的CT研究[J].中醫(yī)正骨,2015,27(11):13-16.
 LU Jianzuo,LIN Yangyang,YANG Jie,et al.Internal fixation with cortical bone screws for the treatment of distal tibiofibular syndesmosis separation:a CT study of 32 patients[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(11):13-16.
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皮質(zhì)骨螺釘內(nèi)固定治療下脛腓聯(lián)合分離的CT研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年11期
頁(yè)碼:
13-16
欄目:
臨床研究
出版日期:
2015-11-30

文章信息/Info

Title:
Internal fixation with cortical bone screws for the treatment of distal tibiofibular syndesmosis separation:a CT study of 32 patients
作者:
魯建作林央央楊杰董曉敏
浙江省溫州市人民醫(yī)院,浙江 溫州 325000
Author(s):
LU JianzuoLIN YangyangYANG JieDONG Xiaomin
The People's Hospital of Wenzhou city,Wenzhou 325000,Zhejiang,China
關(guān)鍵詞:
腓骨 脛骨 踝關(guān)節(jié) 下脛腓聯(lián)合 體層攝影術(shù)X線計(jì)算機(jī) 皮質(zhì)骨螺釘
Keywords:
fibula tibia ankle joint distal tibiofibular syndesmosis tomographyX-ray computed cortical bone screw
摘要:
目的:探討皮質(zhì)骨螺釘內(nèi)固定對(duì)下脛腓聯(lián)合的影響。方法:回顧性分析32例行皮質(zhì)骨螺釘內(nèi)固定術(shù)治療的下脛腓聯(lián)合分離患者的臨床資料,男18例、女14例。年齡28~64歲,中位數(shù)43.5歲。左側(cè)14例,右側(cè)18例。按照Danis-Weber分型,B型12例、C型20例。腓骨骨折合并后踝和內(nèi)踝(或三角韌帶)損傷11例,腓骨骨折合并內(nèi)踝(或三角韌帶)損傷21例。所有患者均攝健、患側(cè)下脛腓骨橫斷位CT片,在CT片上測(cè)量脛腓骨適合角、脛骨腓切跡與腓骨的相對(duì)外移距離和相對(duì)后移距離,并對(duì)其進(jìn)行比較分析。結(jié)果:患側(cè)脛腓骨適合角、脛骨腓切跡與腓骨的相對(duì)外移距離均小于健側(cè)[68.66°±9.28°,79.49°±14.66°,t=2.998,P=0.025;(5.65±1.79)mm,(7.66±2.05)mm,t=2.131,P=0.012],而脛骨腓切跡與腓骨的相對(duì)后移距離大于健側(cè)[(4.94±1.49)mm,(1.90±3.34)mm,t=14.089,P=0.002]。結(jié)論:皮質(zhì)骨螺釘內(nèi)固定治療下脛腓聯(lián)合分離后,患側(cè)下脛腓聯(lián)合較健側(cè)有向前內(nèi)側(cè)旋轉(zhuǎn)的趨勢(shì)。
Abstract:
Objective:To explore the effect of internal fixation with cortical bone screws on the distal tibiofibular syndesmosis.Methods:The clinical records of 32 patients who were treated with cortical bone screws internal fixation for distal tibiofibular syndesmosis were analyzed retrospectively.The patients consisted of 18 males and 14 females,and ranged in age from 28 to 64 years(Median=43.5 yrs).The distal tibiofibular syndesmosis separation located in left leg for 14 cases and right leg for 18 cases.According to the Danis-Weber classification,the injuries belonged to types B(12)and C(20).Fibula fracture combined with posterior malleolus injury and medial malleolus injury or deltoid ligament injury were found in 11 patients,and fibula fracture combined with medial malleolus injury or deltoid ligament injury were found in 21 patients.Bilateral distal tibiofibular transverse CT films were taken in all patients.The tibiofibula congruence angle,fibular outward displacement and backward displacement relative to peroneal sinus of tibia were measured on the CT films and were analyzed.Results:The tibiofibula congruence angle and fibular outward displacement relative to peroneal sinus of tibia of affected side were less than those of uninjured side(68.66+/-9.28 vs 79.49+/-14.66 degrees,t=2.998,P=0.025; 5.65+/-1.79 vs 7.66+/-2.05 mm,t=2.131,P=0.012),while fibular backward displacement relative to peroneal sinus of tibia of affected side was greater than that of uninjured side(4.94+/-1.49 vs 1.90+/-3.34 mm,t=14.089,P=0.002).Conclusion:After cortical bone screws internal fixation for the treatment of distal tibiofibular syndesmosis separation,there is a trend for anteromedial rotation of distal tibiofibular syndesmosis of affected side compared to uninjured side.

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備注/Memo

備注/Memo:
2015-07-01收稿 2015-09-12修回
更新日期/Last Update: 2015-11-30