下胫腓联合损伤的研究进展

孙建 林1, 陈俊 飞1, 李 鑫1, 杨佐 明2
1.华北理工大学 河北 063000 2.唐山市第二医院 河北 063000

摘要

摘要:目的：下胫腓联合损伤是十分常见的踝关节损伤类型，其病史特点及体格检查不具备较高的特异性，易出现漏诊，结合影像学检查或者术中探查
尤为重要。不稳定型下胫腓联合损伤需及时行手术治疗，以免出现远期并发症。目前螺钉固定仍是主流的手术治疗方法，但随着医疗技术及生
物学固定理念的发展，弹性固定因其更符合生理特点、临床效果满意、二次手术率低等逐渐被人们接受及推广，具有较好的应用前景.

关键词

关键词:下胫腓联合损伤；螺钉固定；弹性固定

参考

[1] Liu G T, Ryan E, Gustafson E, et al. Three-Dimensional

Computed Tomographic Characterization of Normal Anatomic

Morphology and Variations of the Distal Tibiofibular Syndesmosis[J]. J

Foot Ankle Surg, 2018, 57(6): 1130-1136.

[2] Hunt K J, Goeb Y, Behn A W, et al. Ankle Joint Contact Loads

and Displacement With Progressive Syndesmotic Injury[J]. Foot Ankle Int,

2015, 36(9): 1095-103.

[3] Clanton T O, Williams B T, Backus J D, et al. Biomechanical

Analysis of the Individual Ligament Contributions to Syndesmotic

Stability[J]. Foot Ankle Int, 2017, 38(1): 66-75.

[4] Huber T, Schmoelz W, Bolderl A. Motion of the fibula relative to

the tibia and its alterations with syndesmosis screws: A cadaver study[J].

Foot Ankle Surg, 2012, 18(3): 203-9.

[5] Markolf K L, Jackson S, Mcallister D R. Force and displacement

measurements of the distal fibula during simulated ankle loading tests for

high ankle sprains[J]. Foot Ankle Int, 2012, 33(9): 779-86.

[6] Yu M, Zhang Y, Su Y, et al. An anthropometric study of distal

tibiofibular syndesmosis (DTS) in a Chinese population[J]. J Orthop Surg

Res, 2018, 13(1): 95.

[7] Chun D I, Cho J H, Min T H, et al. Diagnostic Accuracy of

Radiologic Methods for Ankle Syndesmosis Injury: A Systematic Review

and Meta-Analysis[J]. J Clin Med, 2019, 8(7).

[8] Boyd R P, Nawaz S Z, Khaleel A. A new assessment for

syndesmosis injury - The 'Chertsey test'[J]. Injury, 2016, 47(6): 1293-6.

[9] Wikerøy A K, Høiness P R, Andreassen G S, et al. No difference

in functional and radiographic results 8.4 years after quadricortical

compared with tricortical syndesmosis fixation in ankle fractures[J]. J

Orthop Trauma, 2010, 24(1): 17-23.

[10] Swiontkowski M F. Functional and Radiographic Results of

Patients with Syndesmotic Screw Fixation: Implications for Screw

Removal[J]. Yearbook of Orthopedics, 2010, 2010: 65-67.

[11] Andersen M R, Frihagen F, Madsen J E, et al. High

complication rate after syndesmotic screw removal[J]. Injury, 2015,

46(11): 2283-7.

[12] Mckenzie A C, Hesselholt K E, Larsen M S, et al. A Systematic

Review and Meta-Analysis on Treatment of Ankle Fractures With

Syndesmotic Rupture: Suture-Button Fixation Versus Cortical Screw

Fixation[J]. J Foot Ankle Surg, 2019, 58(5): 946-953.

[13] Jia Z, Cheng J, Zhong H, et al. Titanium cable isotonic annular

fixation system for the treatment of distal tibiofibular syndesmosis

injury[J]. Am J Transl Res, 2019, 11(8): 4967-4975.

第一作者：

孙建林，男，汉族，出生年月：1998 年 11 月，华北理工大学

研究生院，研究方向：创伤骨科

通讯作者：

杨佐明，男，汉族，主任医师，硕士研究生导师，研究方向：

创伤骨科。