Retro Button治疗下胫腓联合分离损伤的疗效分析

Curative effect of using Retro Button to treat abruption of lower tibiofibular ligament union with ankle joint fracture

关键词:  踝关节  骨折  下胫腓联合分离  Retro Button

Key words:  ankle joint  fracture  abruption of lower tibiofibular ligament union  Retro Button

摘要:

目的　探讨下胫腓联合分离内固定治疗的新方法，并进行临床疗效分析。 方法　选取2008-2011年间收治外踝骨折伴下胫腓联合分离损伤共8例患者的临床资料，平均年龄是34岁（19～45岁）。首先对外踝骨折进行切开复位，应用解剖型钢板螺钉进行固定，术中确定下胫腓联合损伤后，利用Retro Button进行进一步固定，术后行非负重功能练习。术后随访并根据Baird-Jackson系统评分进行疗效评价。结果　8例患者术后随访时间3～24个月，平均15个月，其中优7例、良1例。所有患者未出现螺钉切出或断裂、下胫腓联合宽度增大或伤口感染等情况。结论　Retro Button作为固定下胫腓联合的新方法，具有简单、安全、并发症少等优点，临床疗效优良，具有广泛临床应用价值。

Abstract:

Objective To probe a new method for treating abruption of lower tibiofibular ligament union，and analyze the clinical effects.Methods A total of 8 patients with abruption of lower tibiofibular ligament union and lateral malleolus fracture were selected between January008 and January011，with an average age of4 years.First of all，the laternal malleolus fracture was reset and fixed with anatomical plate in all patients.After lower tibiofibular ligament unions injury was confirmed，Retro Buttons were used to fix it.Non weight-bearing exercise began as soon as possible post operation.Postoperative follow-up and therapeutic evaluation were carried out by Baird-Jackson evaluate system.Results A total of 8 patients were followed-up for months to4 months，with an average5 months.Seven patients were excellent and one patient was good.None of them suffered with screw cutout，rupture，losing effectiveness and wound infection.Conclusion As a new method，Retro Button is simple and safe with less complications，and has extensive clinical value.