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伴踝关节骨折的下胫腓联合损伤的治疗进展

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伴踝关节骨折的下胫腓联合损伤是临床上常见的踝关节损伤,下胫腓联合对踝关节的稳定性至关重要.在治疗上,金属螺钉一直是治疗下胫腓联合损伤的金标准,目前可吸收螺钉、纽扣缝线、锚钉缝线增强修复下胫腓联合韧带等技术的发展为临床治疗下胫腓联合损伤提供了新的思路,且更符合生物力学要求.但由于各项技术的优缺点不同,应具体把握其适应证.
Progress in the treatment of tibiofibular syndesmosis injury associated with ankle fracture
The tibiofibular syndesmosis injury associated with ankle fracture is a common ankle injury in clinical practice and tibiofibular syndesmosis is very important for ankle stability.In terms of treatment,metal screws have always been the gold standard for the treatment of tibiofibular syndesmosis injury.At present,the development of absorbable screws,suture button and enhanced repair with anchor suture of lower tibiofibular syndesmosis ligaments provide a new idea for the clinical treatment of tibiofibular syndesmosis injury,which is more in line with biomechanical requirements.However,due to the different advantages and disadvantages of each technology,the indications should be specifically grasped.

ankle fracturetibiofibular syndesmosis injurysyndesmotic screwsuture button

赵鸿鲜、高仕长

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重庆医科大学附属第一医院创伤骨科,重庆 400042

踝关节骨折 下胫腓联合损伤 联合螺钉 纽扣缝线

重庆市技术创新与应用发展专项面上项目

cstc2020 jscxmsxmX0062

2024

局解手术学杂志
重庆市解剖学会,第三军医大学

局解手术学杂志

CSTPCD
影响因子:1.063
ISSN:1672-5042
年,卷(期):2024.33(9)