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首页> 外文期刊>Injury >Malreduction of syndesmosis--are we considering the anatomical variation?
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Malreduction of syndesmosis--are we considering the anatomical variation?

机译：联合症的复位不良-我们是否在考虑解剖学差异？

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摘要

Previous studies have demonstrated the need for accurate reduction of ankle syndesmosis. Measurement of syndesmosis is difficult on plain radiographs. A computed tomography (CT) scan allows better visualisation of the transverse relationship between the fibula and incisura fibularis. The difference ('G' a term we coined for ease of description) between the fibula and the anterior and posterior facets of the incisura fibularis was compared between normal and injured ankles following syndesmotic fixation in 19 patients. The mean diastasis (MD) was also calculated, representing the average measurement between the fibula and the anterior and posterior incisura. When compared with the normal side, eight out of 19 (42%) cases were found to have a residual diastasis even after fixation across the syndesmosis. However, if a standard value of G (2mm) was used for the injured leg only, all of the 19 cases would have abnormal values of 'G' following reduction. Our study has clearly demonstrated the need for individualising the assessment method to guide surgeons and radiologists prior to revision surgery. A standard value of 'G' of 2mm as the normal limit cannot be applied universally, as apparent from the data presented in this study.
机译：先前的研究表明需要精确减少踝关节联合症。在平片上很难测量结节。计算机断层扫描（CT）扫描可以更好地可视化腓骨和切骨腓骨之间的横向关系。在19例患者中，在正常和受伤的脚踝之间进行了腓骨固定术后，比较了腓骨与切骨腓骨的腓骨与前，后小平面之间的差异（“ G”，为便于描述，我们将其称为“ G”）。还计算了平均骨密度（MD），表示腓骨与前，后切牙之间的平均测量值。与正常侧相比，即使固定在整个耻骨联合上，在19个病例中有8个（42％）被发现有残留的腹泻。但是，如果仅将标准值G（2毫米）用于受伤的腿部，则这19例病例在复位后都会出现异常的“ G”值。我们的研究清楚地表明，需要对评估方法进行个体化，以在翻修手术之前指导外科医生和放射科医生。从本研究提供的数据可以明显看出，不能普遍应用2mm的标准值“ G”作为正常极限。

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