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[矫形器在踝关节损伤治疗中的应用]

[Orthotic devices in the treatment of injuries of the ankle joint].

作者信息

Korzh N A, Bilinskiĭ P I

出版信息

Ortop Travmatol Protez. 1991 Apr(4):5-10.

PMID:1754178
Abstract

For immobilization of foot-crus segment in case of damages of talocrural articulation region is proposed a short orthese, made of polyvic. Elastic properties of the material at convergence of the orthese walls allow to develop the compressive force in the region of distal tibiofibular syndesmosis up to 90 N. Immobilization reliability was judged by tensometry. An orthese allows to set the foot subluxation, make reposition of the malleolus fragments. In case of fracture of the lower third of fibula an appliance with concave control pelot, made on the basis of an orthese, is used. The treatment methods foresee the most complete utilization of extremity functions even during the early post-traumatic periods. An orthese and an appliance with positive results were used by 69 patients with the talocrural articulation damages.

摘要

对于踝关节区域受损时小腿段的固定,建议使用由聚乙烯制成的短矫形器。矫形器壁收敛时材料的弹性特性可在胫腓下联合区域产生高达90 N的压缩力。通过张力测定来判断固定的可靠性。矫形器可用于调整足部半脱位,复位外踝碎片。在腓骨下三分之一骨折的情况下,使用基于矫形器制作的带有凹形控制球的器具。治疗方法预计即使在创伤后早期也能最充分地利用肢体功能。69例踝关节损伤患者使用了矫形器和取得阳性结果的器具。

相似文献

1
[Orthotic devices in the treatment of injuries of the ankle joint].[矫形器在踝关节损伤治疗中的应用]
Ortop Travmatol Protez. 1991 Apr(4):5-10.
2
[Treatment of closed injuries of the talocrural joint].
Vestn Khir Im I I Grek. 1982 Apr;128(4):91-5.
3
[Biomechanical substantiation of osteosynthesis of the distal tibiofibular syndesmosis with wire].[胫腓下联合钢丝内固定的生物力学依据]
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Fibular fixation in the management of fractures or fracture-dislocations of both bones of the leg.腓骨固定在小腿双骨折或骨折脱位治疗中的应用
R I Med J. 1968 Feb;51(2):99-102 passim.
5
[Operative or conservative treatment of bimalleolar fracture with dislocation].双踝骨折伴脱位的手术或保守治疗
Beitr Orthop Traumatol. 1968 Jan;15(1):17-8.
6
[Functional treatment of injuries of the tibiofibular syndesmosis].[胫腓下联合损伤的功能治疗]
Ortop Travmatol Protez. 1991 Nov(11):30-1.
7
[Reposition of the malleoli after compound injuries of the ankle joint].踝关节复合伤后踝关节的复位
Ortop Travmatol Protez. 1986 Dec(12):47.
8
[Biomechanical substantiation of U-shaped plaster cast with elastic bandage in diaphyseal fractures of crural bones].[弹性绷带U形石膏固定在胫骨干骨折中的生物力学依据]
Ortop Travmatol Protez. 1990 Apr(4):16-9.
9
[Diagnosis and treatment of injuries of the distal tibiofibular syndesmosis].[胫腓下联合损伤的诊断与治疗]
Vestn Khir Im I I Grek. 1983 Apr;130(4):139-43.
10
Explosion dorsiflexion fracture-dislocation of the ankle--an indication for closed functional traction treatment.踝关节背屈型爆裂骨折脱位——闭合性功能性牵引治疗的指征
Nebr Med J. 1985 Oct;70(10):374-7.