摘要
下胫腓联合韧带是为踝关节提供柔韧性和稳定性的软组织复合体,这些韧带一起维持了胫骨远端和腓骨之间的稳定性。当这些韧带在严重的踝关节扭伤中断裂时,腓骨远端就会迁移,将不能再为踝关节提供一个稳定的外侧支撑。下胫腓损伤后准确的解剖复位和固定的重要性已被证实,下胫腓联合损伤手术治疗的金标准仍是使用下胫腓螺钉将腓骨固定在胫骨上。随着有限元技术的发展,通过该技术建立的踝关节有限元模型可靠性也被广泛证实,越来越多的学者应用该技术到下胫腓联合损伤当中研究螺钉固定下胫腓的情况。因此本文主要从通过有限元法研究螺钉固定下胫腓损伤来进行综述。
The syndesmosis ligament is a soft tissue complex that provides flexibility and stability to the ankle joint. These ligaments maintain stability between the distal tibia and the fibula. When these ligaments break in a severe ankle sprain, the distal fibula migrates and can no longer provide a stable lateral support to the ankle. The importance of accurate simultaneous reduction and fixation after distal tibiofibular syndesmosis injury has been proven. The gold standard for surgical treatment of distal tibiofibular syndesmosis injury is still fixation of the fibula to the tibia with screws, but there are many controversies regarding the position, quantity, size and number of penetrating cortex of screws. With the development of finite-element technology, the reliability of the finite-element model of the ankle joint established by this technology has been widely confirmed. More and more scholars have applied this technology to study the condition of screw fixation of the tibiofibular syndesmosis injury. Therefore, this paper mainly reviews the study of screw fixation tibiofibular injury by finite element method.
出处
《临床医学进展》
2022年第1期13-18,共6页
Advances in Clinical Medicine
