[1]王春生 金辽沙 杨佩 张子琦 王坤正.腓骨中上段截除术对踝关节功能的影响[J].中华老年骨科与康复电子杂志,2016,(01):7-10.[doi:10.3877/cma.j.issn.2096-0263.2016.01.002]
　Wang Chunsheng,Jin Liaosha,Yang Pei,et al.Influence of partial resection of middle-upper fibula on ankle joint[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(01):7-10.[doi:10.3877/cma.j.issn.2096-0263.2016.01.002]
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腓骨中上段截除术对踝关节功能的影响()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2016年01期
页码:
7-10
栏目:
临床论著
出版日期:
2016-02-05

文章信息/Info

Title:
Influence of partial resection of middle-upper fibula on ankle joint
作者:
王春生 金辽沙 杨佩 张子琦 王坤正
西安交通大学医学院第二附属医院骨一科
Author(s):
Wang Chunsheng;  Jin Liaosha;  Yang Pei;  Zhang Ziqi;  Wang Kunzheng
Department of Orthopaedics, Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710004, China
关键词:
踝关节; 　腓骨; 　截骨术
Keywords:
Ankle joint;  　Fibula; 　Osteotomy
DOI:
10.3877/cma.j.issn.2096-0263.2016.01.002
摘要:
目的　探讨成人腓骨中上段部分截除对踝关节功能的影响。方法　回顾性收集西安交通大学医学院第二附属医院2006 年1 月至2014 年12 月符合纳入及排除标准的成人中上段腓骨部分截除患者154 例，于末次随访时，对比手术侧与对侧踝关节的肌力、运动范围、影像学和功能检查。结果　97 例患者获得随访，随访率63.0%，随访时间1 ～ 8 年，平均（3.5±1.7）年。手术侧与对侧踝关节的肌力、运动范围、外踝长度、踝穴宽度、内踝- 距骨间、腓骨角及胫骨角比较，差异均无统计学意义（P ＞ 0.05）；术侧运动后踝关节疼痛者9 例（9.3%），对侧疼痛者11 例（11.3%），差异无统计学意义（P ＞ 0.05），所有切口均达到一期愈合。结论　成人腓骨中上段部分截除对患者的踝关节结构、肌力、运动范围及日常生活功能均无明显不良影响。
Abstract:
Objective　To evaluate ankle function in a series of patients underwent partial resection of middle-upper fibula. Methods　154 patients who underwent partial resection of middle-upper fibula in Second Affiliated Hospital of Xi’an Jiaotong University from January 2006 to December 2014. Muscle strength, range of motion, function and radiographic expression in the donor and contra-lateral ankle were checked and analyses at the final follow-up. Results　97 (63.0%)patients were followed-up for 1-8 years, with an average of (3.5±1.7) years. In this series of patients, there were no obviously differences in muscle strength (P>0.05), range of motion (P>0.05), function (P>0.05) and radiographic expression (P>0.05) in the donor and contra-lateral ankle. There were 9 cases (9.3%) with ankle pain after exercise in the donor ankle, and 11 cases (11.3%) in the contra-lateral ankle, there was no statistically significant difference (P>0.05), all achieved primary healing of incision. Conclusion　No obviously affection was observed on ankle function, muscle strength, range of motion and activity of daily living after partial middle-upper fibula cut off.

参考文献/References:

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备注/Memo

备注/Memo:
国家自然科学基金项目（81472067）
更新日期/Last Update: 2016-02-16