踝关节骨折合并三角韧带损伤的修复

申宽宏, 黄东, 吴伟炽, 黄永军, 牟勇

中国临床解剖学杂志 ›› 2012, Vol. 30 ›› Issue (6) : 696-697.

中国临床解剖学杂志 ›› 2012, Vol. 30 ›› Issue (6) : 696-697.
临床研究

踝关节骨折合并三角韧带损伤的修复

  • 申宽宏, 黄东, 吴伟炽, 黄永军, 牟勇
作者信息 +

The surgical therapy of ankle fracture combined with the deltoid ligament damage

  • SHEN Kuan-hong, HUANG Dong, WU Wei-chi, HUANG Yong-jun, MOU Yong
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摘要

目的 探讨踝关节骨折合并三角韧带损伤时手术修复三角韧带的方法。  方法 对17例踝关节骨折合并三角韧带损伤患者采用切开复位内固定并修复重建三角韧带,术后对病人的资料进行随访、分析。  结果 随访时间11~45个月,平均24.7个月,按美国足踝外科协会(AOFAS)踝与后足功能评分标准评估疗效,本组病例中优6例,良7例,可3例,差1例,优良率76.47%。  结论 踝关节骨折合并三角韧带损伤时,手术修复三角韧带能够恢复踝关节的正常生物力学环境和稳定性。

Abstract

Objective To explore surgical repairing of ankle fracture accompanied with the deltoid ligament damage. Methods 17 patients with ankle fracture accompanied with the deltoid ligament rupture were treated by open reduction, intensified internal fixation, and restoration of broken ligaments.After the surgery, patients were followed up and analyzed. Results The American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score was used to evaluate clinical results of the treatment. In all cases, 6 were excellent, 7 good, 3 passable, and only 1 poor. The rate of good and excellence was about 76.47%. Conclusions For cases of ankle fracture combined with deltoid ligament rupture, surgical treatment is helpful for recovering mechanical stability of ankle joint.

关键词

踝关节 / 三角韧带 / 内固定 / 手术修复

Key words

Ankle joint / Deltoid ligament / Internal fixation / Surgical therapy

引用本文

导出引用
申宽宏, 黄东, 吴伟炽, 黄永军, 牟勇. 踝关节骨折合并三角韧带损伤的修复[J]. 中国临床解剖学杂志. 2012, 30(6): 696-697
SHEN Kuan-Hong, HUANG Dong, TUN Wei-Chi, HUANG Yong-Jun, MAO Yong-. The surgical therapy of ankle fracture combined with the deltoid ligament damage[J]. Chinese Journal of Clinical Anatomy. 2012, 30(6): 696-697
中图分类号: R681.8   

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