Henkemeyer H, Püschel R, Burri C
Langenbecks Arch Chir. 1975;Suppl:369-71.
The amplitude of movement of the distal fibula was measured with the tibio-fibular syndesmosis intact, severed and transfixed after anatomical and insufficient reduction. Transfixation by means of a location screw inserted above the syndesmosis horizontally and at an angle of 30 degrees in the frontal plane proved to be optimal since the quality of movement is not altered while its amplitude is only minimally reduced. Malalignment with shortening leads to rotation outward.
在解剖复位不充分后,分别在完整、切断和固定胫腓联合的情况下测量腓骨远端的移动幅度。结果表明,通过在胫腓联合上方水平且在额状面成30度角插入定位螺钉进行固定是最佳的,因为这样做在移动幅度仅略有减小的情况下,运动质量不会改变。对位不良伴短缩会导致向外旋转。