Surgical treatment of special type fracture and dislocation of ankle joint associated with injury of inferior tibiofibular syndesmosis

Inferior tibiofibular syndesmosis separation associated with ankle fracture-a report of 92 cases

下胫腓分离并踝关节骨折92例

Advances of screw internal fixation for the treatment of distal tibiofibular syndesmosis injuries

下胫腓联合损伤螺钉内固定治疗新进展

The use of absorbable screws in tibiofibular syndesmosis injury treatment of 21 cases

可吸收螺钉治疗下胫腓联合损伤21例分析

Development and biomechanical analysis of tibiofibular syndesmosis hook and bolt

下胫腓联合钩栓的研制及其生物力学比较研究

Among the 20 cases without fixation of the tibiofibular articulation surgically, 16 did not have the increase of the ankle joint and 4 had slight or middle separation of the tibiofibular joint.

术中未行下胫腓联合固定20例，80%（16/20）未发现有踝穴增宽，4例下胫腓关节有轻、中度分离，疗效差。

Conclusions The key point is reduction and fixation of lateral malleolus and distal tibiofibular syndesmosis in ankle joint fracture.

结论外踝骨折和下胫腓联合损伤的复位及固定是治疗踝关节骨折的关键。

There was 60 °~ 75 ° flexion extension in the reconstructed elbow joint after tibiofibular joint graft. A portion of the biceps femoris tendon and aponeurosis of peroneus can be used to strengthen lateral and posterior stability of the reconstructed joint.

胫腓关节移植可重建肘关节的60°～75°屈伸范围，可用部分股二头肌腱及腓骨肌腱膜加强重建关节的后方与侧方稳定性。

Methods Open reduction and internal fixation of the medial, lateral and the posterior malleolar fracture were used. The separation of the tibiofibular joint was fixed with a long screw or a bolt to keep the stability of the ankle mortise.

方法手术复位，内固定外踝、内踝或后踝骨折，有胫腓关节分离者用长螺钉或骨栓固定，以维持踝穴的稳定。

Research and Application of Pterygoid Steel Plate for Internal Fixation of Fracture of the Lateral Malleolus Associated with Isolation of the Inferior Tibiofibular Joint The effect of alar ligament fragmentation on the stability of atlanto axial joint

内固定外踝骨折并下胫腓分离弧翼状钢板的研制及应用翼状韧带断裂对寰枢关节稳定性影响的生物力学实验研究

In our clinical studies we found, we can classify the trimalleolar fracture according to the talar shift directions and if there has been a separating with the inferior tibiofibular joint or not.

我们在临床研究中发现三踝骨折存在以其距骨移位的方向和下胫腓联合分离的有无为基础的独立分型。

Results The lesions were in the knee joints in 6 cases, in the hip joint in one case and in the superior tibiofibular joint in one case, 7 cases were the diffuse form.

结果病变位于膝关节6例，髋关节1例，胫腓上关节1例，病变呈弥漫型7例。

Conclusion The repair of inferior tibio-fibular ligaments with the tendon of peroneus longus is an excellent way to treat complete disruption of inferior tibiofibular joint.

结论下胫腓联合对维持踝穴的完整及稳定具有重要意义，需根据不同的病情选择合理的手术方法。采用腓骨长肌腱修复下胫腓韧带术治疗是非常有效的。

Conclusion Not only the bone structure but also the reparation of the soft tissue should be emphasized in the treatment of the acute dislocation of the distal tibiofibular joint.

结论对下胫腓关节脱位的治疗不仅要重视骨性结构，应同样重视软组织的修复。

Objective To investigate the necessity of reparation of the soft tissue such as the ligament for the treatment of the acute dislocation of the distal tibiofibular joint.

目的探讨韧带等软组织的修复对治疗急性下胫腓关节脱位的必要性。

Methods 20 cases of ankle joint fracture with inferior tibiofibular joint split were fixed with sponge bone compression screws to restore the malleolar cave structure.

方法对20例踝关节骨折伴下胫腓韧带分离患者按Bonnin分度法，Ⅱ度12例，Ⅲ度8例采用加压松质骨螺钉内固定术，使踝穴结构恢复正常。

Conclusion: We insist ( 1) internal fixation through the distal tibiofibular joint should be removed within 3 months after operation;

结论：（1）固定下胫腓联合的内固定材料尽可能在术后3个月内取出，以恢复下胫腓联合的正常功能；

The separated tibiofibular joint had been fixed with long screw, cancellous bone screw or bolt.

分离的下胫腓关节用长螺丝钉、松质骨螺钉或骨螺栓固定。

Objective: To provide anatomical basis for reconstructing the elbow joint by vascularized tibiofibular joint graft.

目的：为吻合血管的胫腓关节移植修复肘关节缺损并重建肘关节屈伸功能的新术式提供解剖学依据。

Design and preliminary clinical application of a new digitalized navigation template for fixation of the inferior tibiofibular joint

下胫腓联合分离固定数字化导向模板的设计及其初步临床应用

Fixation of distal tibiofibular joint in ankle injuries

踝部损伤的下胫腓关节固定