CAJ | 학술논문

目的　介绍应用腓骨长肌移位韧带重建方法治疗陈旧性下胫腓关节分离。方法　对21例陈旧性无骨折的下胫腓关节分离患者行同侧腓骨长肌移位韧带重建、松质骨螺钉内固定术,术后10周取出内固定。结果　经2个月到10年的随访,结果是18例优良,2例可,1例差,优良率85.7%。结论　采用本法治疗无骨折的陈旧性下胫腓关节分离能明显改善症状,防止创伤性踝关节炎的发生发展。
목적　개소응용비골장기이위인대중건방법치료진구성하경비관절분리。방법　대21례진구성무골절적하경비관절분리환자행동측비골장기이위인대중건、송질골라정내고정술,술후10주취출내고정。결과　경2개월도10년적수방,결과시18례우량,2례가,1례차,우량솔85.7%。결론　채용본법치료무골절적진구성하경비관절분리능명현개선증상,방지창상성과관절염적발생발전。
Objective　To describe a treatment method of old lower tibiofibular articulation separation with long peroneal muscle graft and ligament reconstruction.Methods　21 patients with old lower tibiofibular articulation separation without fracture were operated upon using grafting the unilateral peroneous longus muscle and ligament reconstruction.Cancellous bone screws were used in the operation and the internal fixation apparatus were taken out at 10 weeks postoperatively.Results　The follow-up period ranged from 6 months to 10 years.Of the 21 cases,18 has good results,2 fair and one no change.The excellent and good rate was 85.7%.Conclusion　This method of treatment is able to improve painful syndrome and prevent the development of traumatic arthritis.