Abstract

目的 研究下胫腓骨性连接对患者的症状和功能的影响,并探讨其对临床工作的启发.方法对14例术后出现下胫腓骨性连接的踝关节骨折的患者(共14踝)进行平均22.8个月(11～54个月)随访,采用Philips等踝关节临床评分系统对随访结果评分.结果主观症状:除3例患者主诉在长时间行走或劳动后有一过性酸痛外,其他病人均无不适主诉,所有患者均无明显生活或工作障碍;踝关节功能:跖屈平均为47.9°,较健侧差3.5°(0～10°),背伸平均为20°,较健侧差8.6°(0～20°);所有病人的X线片上均无明显骨性关节炎表现;Philips等踝关节临床评分平均为90.8分(82～98分),其中优71.4%,优良率100%.结论骨折后形成的下胫腓骨性连接通常不会引起明显的症状和功能障碍,一般无需进一步治疗。

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