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中华关节外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (01) : 104 -110. doi: 10.3877/cma.j.issn.1674-134X.2021.01.017

所属专题: 文献

综述

三角韧带合并下胫腓联合损伤的微创治疗进展
张经1, 王斌1, 乔文1, 孔令宝1, 李园园1, 吕欣1,()   
  1. 1. 030001 太原,山西医科大学第二医院骨科
  • 收稿日期:2020-06-30 出版日期:2021-02-01
  • 通信作者: 吕欣
  • 基金资助:
    国家自然科学基金(81802204)

Progress in minimally invasive treatment of deltoid ligament with inferior tibiofibular syndesmosis injury

Jing Zhang1, Bin Wang1, Wen Qiao1, Lingbao Kong1, Yuanyuan Li1, Xin Lyv1,()   

  1. 1. Orthopedic Department of Second Hospital of Shanxi Medical University, Taiyuan 030001, China
  • Received:2020-06-30 Published:2021-02-01
  • Corresponding author: Xin Lyv
引用本文:

张经, 王斌, 乔文, 孔令宝, 李园园, 吕欣. 三角韧带合并下胫腓联合损伤的微创治疗进展[J]. 中华关节外科杂志(电子版), 2021, 15(01): 104-110.

Jing Zhang, Bin Wang, Wen Qiao, Lingbao Kong, Yuanyuan Li, Xin Lyv. Progress in minimally invasive treatment of deltoid ligament with inferior tibiofibular syndesmosis injury[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(01): 104-110.

三角韧带也称踝关节内侧副韧带,下胫腓联合是胫腓骨远端的复合韧带结构。二者常因踝关节暴力骨折同时发生,并多伴有严重并发症。三角韧带合并下胫腓联合损伤多采用手术治疗,穿皮质螺钉多用于下胫腓联合损伤,锚钉固定多用于三角韧带断裂。随着足踝外科与运动医学的发展与更新,新的治疗方案正逐渐应用于临床之中,如穿骨皮质的可吸收螺钉、胫腓钩、胫腓板、纽扣装置等弹性微动材料,有限切口下自体、异体或人工韧带,关节镜下修复断端韧带的缝合夹等。因此在今后的临床诊疗中,三角韧带合并下胫腓联合的治疗将集中在微创理念下韧带的修复与重建。

The triangular ligament is also known as the medial collateral ligament of the ankle joint, and the inferior tibiofibular union is a compound ligament structure at the distal end of the tibiofibula. Both of them often happen at the same time due to violent fracture of ankle joint, and are often accompanied by serious complications. Surgery is often used to treat the combined injury of the deltoid ligament with inferior tibiofibular syndesmosis. Cortical screws are often used for the combined injury of inferior tibiofibular syndesmosis, and anchors are often used for the fracture of the deltoid ligament. With the development and update of foot and ankle surgery and sports medicine, new treatment schemes are gradually applied in clinical practice. For example, absorbable screws penetrating the bone cortex, elastic fretting materials (i.e. tibiofibular hook, tibiofibular plate and button device), autogenous, allogeneic or artificial ligament under limited incision, arthroscopic repair of the ligaments of the broken end of the suture clip. Therefore, in the future clinical diagnosis and treatment, the treatment of combined deltoid ligament with inferior tibiofibular syndesmosis will focus on the repair and reconstruction of ligament under the concept of minimally invasive.

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