CAJ | 학술논문

目的：探讨合并下胫腓韧带损伤特殊类型的踝关节骨折脱位的创伤病理特点和下胫腓韧带损伤处理。方法：1998年至2012年收治的经手术治疗的113例合并下胫腓联合损伤的踝关节骨折进行了回顾性分析，男79例，女34例；年龄17～78岁，平均38岁。所有病例均采用切开复位内固定，下胫腓联合采用单个或双螺钉固定107例，手术后用石膏外固定6周。结果：术后平均随访4.5年(6月～8年)，骨折均愈合，无切口感染，按Baird和Jackon踝关节评分系统，优良（91～100分）101例，可（81～90分）10例，差（0～80分）2例，平均85.5分(20～100分)。结论：骨折的解剖复位，胫距之间正常的对合关系，三角韧带深层损伤的修复，应依据不同骨折类型处理下胫腓韧带损伤，是取得优良结果的关键。
목적：탐토합병하경비인대손상특수류형적과관절골절탈위적창상병리특점화하경비인대손상처리。방법：1998년지2012년수치적경수술치료적113례합병하경비연합손상적과관절골절진행료회고성분석，남79례，녀34례；년령17～78세，평균38세。소유병례균채용절개복위내고정，하경비연합채용단개혹쌍라정고정107례，수술후용석고외고정6주。결과：술후평균수방4.5년(6월～8년)，골절균유합，무절구감염，안Baird화Jackon과관절평분계통，우량（91～100분）101례，가（81～90분）10례，차（0～80분）2례，평균85.5분(20～100분)。결론：골절적해부복위，경거지간정상적대합관계，삼각인대심층손상적수복，응의거불동골절류형처리하경비인대손상，시취득우량결과적관건。
Objective: To investigate the trauma pathological peculiarity and management of special type of ankle fracture and dislocation combined with inferior tibiofibular syndesmosis injury.Methods: A retrospective analysis has done on 113 patients (included male 79 and female 34, the range of age were from 17 to 78 years with an average of 38 years) received surgery with syndesmosis injury in ankle fractures from 1998 to 2012.All cases are treated by open reduction and internal fixation,single or two tibiofibular syndesmosis screw fixation in 107 cases among them,combined with plaster external fixation for 6 weeks.Results:All patients were followed uPfrom 6 months to 8 years with an average of4.5 years,no patients had union or infection ,according to Baird and Jackon ankle scoring system,the excellent results were found in73 cases (91~100 scores),fair in 8(81~90 scores),bad in 2 (0~80 scores),an average of 85.5 score (20~100 scores).Conclusion:The anatomical reduction of fractures,involution of the normal relationshiPbetween the tibial and astragalus,repair of the deePtriangular ligament injury,treatment based on different types of inferior tibiofibular syndesmosis injury,are critical factors to achieve good results.