摘要
目的 对踝关节骨折中较少见的一种Maisonneuve骨折进行诊治分析。方法 Maisonneuve骨折 9例 ,新鲜骨折采取手术方法 ,固定内踝或修复三角韧带 ,并固定下胫腓联合。对于陈旧性骨折 ,应恢复踝穴宽度 ,进行三角韧带修补 ,腓骨截骨 ,固定下胫腓联合。结果 本组 9例 ,恢复良好 6例 ,可 1例 ,差 2例。结论 要认识Maisonneuve骨折是踝关节骨折Lauge -Hansen分型中旋前 -外旋型Ⅲ度骨折 ,是较少见的一种骨折类型 ,并予准确地治疗 ,减少误诊的发生 ,才能降低本病的致残率。
Objective To summarize the treatment experience of maisonneuve fracture, which was a rare type of fracture of ankle joint. Methods We studied 9 patients with maisonneuve fracture. To the patients with new fracture, we used surgical treatment-fixing or renovated the medial malleolus, and fixed distal tibio-fibular syndesmosis. To the patients with old fracture, we restored the width of the ankle joint, and repaired the triangular ligament. Then, we gave an osteotomy of fibula, and fixed distal tibio-fibular syndesmosis. Results The effect of 9 cases were fine in 6, passable in 1, and poor in 2. Conclusion Maisonneuve fracture, a rare type of fracture of ankle joint, is PE Ⅲ degree fracture according to Lauge-Hansen typing. Only by accurating treatment and lessening the misdiagnosis, could we decrease the possibility of disability caused by the disease.
出处
《中国煤炭工业医学杂志》
2005年第4期332-333,共2页
Chinese Journal of Coal Industry Medicine
