Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.
Arthrosc Tech. 2016 Apr 25;5(2):e419-24. doi: 10.1016/j.eats.2016.01.021. eCollection 2016 Apr.
Chronic distal tibiofibular syndesmosis disruption can be managed by endoscopic arthrodesis of the syndesmosis. This is performed through the proximal anterolateral and posterolateral portals. The scar tissue and bone block are resected to facilitate the subsequent reduction of the syndesmosis. The reduction of the syndesmosis can be guided either arthroscopically or endoscopically. The tibial and fibular surfaces of the tibiofibular overlap can be microfractured to facilitate subsequent fusion.
慢性下胫腓联合损伤可通过下胫腓联合的关节镜下融合术进行治疗。该手术通过近端前外侧和后外侧入路进行。切除瘢痕组织和骨块以利于随后下胫腓联合的复位。下胫腓联合的复位可通过关节镜或内镜引导。下胫腓重叠处的胫骨和腓骨表面可进行微骨折以促进随后的融合。