下胫腓联合损伤的诊断与治疗进展

Progress in Diagnosis and Treatment of Distal Tibiofibular Syndesmosis Injury

摘要: 下胫腓联合有助于稳定胫骨和腓骨远端，并保持踝关节的微动性。下胫腓联合损伤通常与踝关节骨折同时发生，治疗若不当可能会影响踝关节的功能。目前，诊断下胫腓联合损伤需要结合临床体格检查、影像学检查，甚至关节镜检查来判断。就治愈方式而论，目前以螺丝固定胫腓骨治疗仍占主导地位，但胫腓骨采用弹性稳定的方式在治疗合并受损情况时已日益普及，更贴近生物力学的原则。

Abstract: The tibiofibular syndesmosis helps stabilize the distal tibia and fibula, while maintaining the micro motion of the ankle joint. Lower tibiofibular joint injury usually occurs simultaneously with ankle fracture, and improper treatment may affect ankle joint function. At present, the diagnosis of tibiofibular joint injury requires a combination of clinical physical examination, imaging examination, and even arthroscopy to determine. In terms of treatment methods, screw fixation of the tibia and fibula still dominates, but the use of elastic stabilization for the tibia and fibula has become increasingly popular in treating combined injuries, which is closer to the principles of biomechanics.