CAJ | 학술논문

目的探讨Weber B型和C型踝关节骨折术中下胫腓联合稳定性的评价方法及效果. 方法 2007年3月至2009年3月,收治231例Weber B型和C型踝关节骨折患者,术中踝关节骨折的骨性结构恢复后,在C型臂X线透视下通过腓骨外拉应力试验来检查下胫腓联合的稳定性. 结果 Weber B型踝关节骨折145例,42例(28.9%)出现下胫腓联合不稳定;C型踝关节骨折86例,62例(72.1%)出现下胫腓联合不稳定.下胫腓联合不稳定的踝关节骨折均进行了下胫腓联合固定. 结论 Weber B型和C型踝关节骨折在骨性结构被恢复后,下胫腓联合不稳定仍然有较高的发生率.术中通过C型臂X线透视下腓骨外拉应力试验能简单有效地对下胫腓联合的稳定性进行评价,可根据其稳定性来确定是否行下胫腓联合固定.
목적 탐토Weber B형화C형과관절골절술중하경비연합은정성적평개방법급효과. 방법 2007년3월지2009년3월,수치231례Weber B형화C형과관절골절환자,술중과관절골절적골성결구회복후,재C형비X선투시하통과비골외랍응력시험래검사하경비연합적은정성. 결과 Weber B형과관절골절145례,42례(28.9%)출현하경비연합불은정;C형과관절골절86례,62례(72.1%)출현하경비연합불은정.하경비연합불은정적과관절골절균진행료하경비연합고정. 결론 Weber B형화C형과관절골절재골성결구피회복후,하경비연합불은정잉연유교고적발생솔.술중통과C형비X선투시하비골외랍응력시험능간단유효지대하경비연합적은정성진행평개,가근거기은정성래학정시부행하경비연합고정.
Objective To discuss the method and effect of evaluating the syndesmotic stability in treatment of Weber B and C ankle fractures. Methods We retrospectively analyzed 231 cases of Weber B and C ankle fractures that had been treated in our hospital from March 2007 to March 2009. After rigid fixation of the bony structures, syndesmotic stability was evaluated by stress examination (pulling the fibula laterally under C-arm fluoroscopy) . Results Syndesmotic instability was found in 42 of the 145 (28.9%) cases of Weber B ankle fractures and in 62 of the 86 (72.1%) cases of Weber C ankle fractures. All ankle fractures with syndesmotic instability were further treated with trans-syndesmotic fixa-tion. Conclusions Since the incidence of syndesmotic instability is still high after rigid fixation of the bony structures in operations for Weber B and C ankle fractures, intraoperative stress examination (pulling the fibula laterally under C-arm fluoroscopy) is an easy and efficient way to evaluate the syndesmotic stability. Surgeons can decide whether to fix the syndesmosis or not after the evaluation.