Zamzami Marwan M, Zamzam Mohamed M
King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Foot Ankle Surg. 2009;15(1):14-9. doi: 10.1016/j.fas.2008.04.002. Epub 2008 Jun 6.
The current study outlines the pathology and treatment of persistent problems following isolated distal tibiofibular syndesmotic injuries.
A retrospective study was conducted to review patients with isolated chronic syndesmotic disruption who were managed in the authors' institute during 4 years, from January 2001 to January 2005. Patients with concomitant bony injuries or lateral ankle instability were excluded.
The study included eleven patients with isolated syndesmotic disruption. All were males, with average duration of symptoms 4.7 years. Reconstruction of syndesmosis was achieved by semitendinosus tendon in all patients. The average hospital stay was 3.6 days, and the average follow up period was 3.1 years. According to West Point Ankle Score system, the average score after treatment was 95.4.
Chronic isolated tibiofibular syndesmotic disruption appears amenable to accurate diagnosis and delayed stabilization. Arthroscopic management of the associated intraarticular pathology followed by reconstruction of torn syndesmosis can offer an excellent outcome.
本研究概述了单纯性胫腓下联合损伤后持续性问题的病理学及治疗方法。
进行一项回顾性研究，以回顾2001年1月至2005年1月这4年间在作者所在机构接受治疗的单纯性慢性胫腓下联合损伤患者。排除合并有骨损伤或踝关节外侧不稳定的患者。
该研究纳入了11例单纯性胫腓下联合损伤患者。均为男性，症状平均持续时间为4.7年。所有患者均采用半腱肌腱重建胫腓下联合。平均住院时间为3.6天，平均随访期为3.1年。根据西点踝关节评分系统，治疗后的平均评分为95.4分。
慢性单纯性胫腓下联合损伤似乎易于准确诊断及延迟稳定治疗。关节镜下处理相关关节内病变，随后重建撕裂的胫腓下联合，可取得良好疗效。
