图2图为通过挤压试验诊断胫腓韧带联合受损的临床照片。
Figure 2 Clinical photograph shows the squeeze test for injury to the tibiofibular syndesmosis.
目的探讨人类上胫腓关节坡度对关节本身的稳定性是否有影响。
Objective To investigate if the stability of human proximal tibiofibular joint is influenced by its slope.
当小腿中部的胫骨和腓骨处受到挤压时，下胫腓联合出现痛感说明受试者出现胫腓联合受损。
Pain over thedistal tibiofibular syndesmosis when the examiner squeezes the tibia and fibulaat the mid calf is a positive result.
本项研究的目的在于探究踝关节骨折后患者的功能及影像学结果是否受胫腓联合螺钉状态的影响。
The purpose of this study is to determine whether functional outcomes and radiographic results after ankle fracture are affected by the status of the syndesmosis screw.
通过对下胫腓联合的CT测量，观察下胫腓联合在CT扫描图象上的解剖特性，并探讨临床意义。
To observe the anatomic characteristics of the distal tibiofibular syndesmosis on ct axial scan image and elucidate clinical significance.
目的：伴有胫腓联合损伤的踝关节骨折通常以胫腓联合螺钉固定。
Objectives: Ankle fractures with a syndesmotic injury have historically been treated with syndesmotic screw fixation.
结论：相对于下胫腓螺钉断裂，松动或取出的情况，下胫腓联合螺钉完整的患者通常功能较差。
Conclusions: An intact syndesmosis screw was associated with a worse functional outcome compared with loose, fractured, or removed screws.
目的评价踝关节骨折修复下胫腓前韧带的生物力学稳定性。
Objective To evaluate the biomechanical stability of restoration of anterior lower tibiofibular ligament in ankle fracture.
下胫腓联合对维持踝关节的稳定性、对重量的传导和行走都很重要。
The distal tibiofibular syndesmosis is important for ankle mortise stability, weight transmission and walking.
目的：通过螺钉固定，受损的下胫腓联合能维持稳定，但活动度可能受限。
Objective: Screw fixation of the injured syndesmosis restores stability but may reduce motion.
目的探讨踝关了骨折伴下胫腓关节分离的治疗方法。
Objective To explore the treatment of ankle joint fracture combined with inferior tibiofibular joint split.
由此推断，尽管缺少侧位相的后侧骨折，但胫腓后韧带可能撕裂。
By inference, then, the posterior tibiofibular ligament is probably torn despite lack of posterior fracture on the lateral view.
结论对下胫腓关节脱位的治疗不仅要重视骨性结构，应同样重视软组织的修复。
Conclusion Not only the bone structure but also the reparation of the soft tissue should be emphasized in the treatment of the acute dislocation of the distal tibiofibular joint.
结论对踝关节骨折伴下胫腓韧带分离的患者在治疗骨折的同时注意修补下胫腓韧带以恢复正常踝穴结构，避免创伤性骨关节炎发生。
Conclusion To fix the fracture and repair the inferior tibiofibular ligament would restore the structure of malleolar cave and avoid the occurrence of traumatic osteoarthritis.
主要的疗效指标：对于胫腓联合螺钉完整的，断裂的，松动以及取出的病人进行比较。
Main Outcome Measurements: Patients with intact, broken or loose, or removed syndesmosis screws were compared.
胫骨的腓骨切迹深度、切迹内腓骨的位置影响下胫腓联合的稳定性。
The stability of the distal tibiofibular syndesmosis was affected by the depth of fibula incisure of the tibia and the position of fibula in incisure.
目的探讨韧带等软组织的修复对治疗急性下胫腓关节脱位的必要性。
Objective To investigate the necessity of reparation of the soft tissue such as the ligament for the treatment of the acute dislocation of the distal tibiofibular joint.
目的总结合并下胫腓联合分离的踝关节骨折手术治疗的效果。
Objective To summarize the effectiveness of the disruption of tibia-fibular joint combined with malleolar fracture.
取吻合口附近的胫、腓神经段经锇酸染色后在光镜下观察腓总神经内轴突与胫神经轴突的关系。
The tibial and peroneal nerve trunks close to the location of suture were dissected, osmium stained and observed by light microscopy.
外侧支持结构的损伤包括腓侧副韧带、髂胫束、股二头肌、腘肌腱也可用MRI描述。
Injuries of the lateral supporting structures, including the fibular collateral ligament, iliotibial band, biceps femoris, and popliteus tendon, also are depicted with MRI.
人类胫腓关节坡度对关节本身的稳定性有影响。
The joint inclination of 109 tibiofibular joints were measured with two methods.
肌电图显示腓总神经及胫神经传导速度与治疗前比较显著增高，接近正常值，并能使延长的神经远端潜伏期显著缩短。
The EMG analyses revealed that nerve conduction velocity was significantly increased and nerve distal latency was significantly shortened after treatment as compared with that before treatment.
可采用固定内踝及后踝骨折、修复内侧三角韧带及固定下胫腓联合的方法进行治疗。
Surgical treatments include ORIF of the medial malleolus or repair of the medial deltoid ligament and percutaneous screw fixation of the disrupted distal tibiofibular syndesmosis.
随后，腓骨的扭转引起胫腓前韧带断裂，同时伴有骨间膜的断裂(图。2A)。
Subsequently, torsion to the fibula causes rupture of the anterior tibiofibular ligament, followed by rupture of the interosseous ligament (FIG. 2a).
结论：取出固定胫腓联合的螺钉及钢板在客观上及主观上都有助于功能改善。取出经胫腓联合固定的内植物有助于尽快的康复。
Conclusions: Locked screw and plate removal improved function both subjectively and objectively. Transsyndesmotic implant removal seems to assist improvements in the speed of rehabilitation.
本研究将探索在WeberC型踝关节骨折固定中，螺钉固定骨皮质数目及踝关节位置对于下胫腓联合宽度和胫距旋转的影响。
This study sought to determine the effect of the number of cortices of screw purchase and ankle position on syndesmosis width and tibiotalar rotation in Weber C ankle fracture fixation.
目的分析踝关节内、外侧结构和胫腓下联合损伤对踝关节稳定性的影响，探讨胫腓下联合固定的指征。
Objective To evaluate factors which maintain the stability of the ankle, and discuss indications for trans-syndesmotic fixation.
目的：明确胫腓骨远端钢板经皮植入对腓浅神经，隐神经及大隐静脉的损伤。
Objectives: To assess the risk of injury to the superficial peroneal nerve, saphenous nerve, and saphenous vein in percutaneous fixation of the distal fibula and tibia.
目的：明确胫腓骨远端钢板经皮植入对腓浅神经，隐神经及大隐静脉的损伤。
Objectives: To assess the risk of injury to the superficial peroneal nerve, saphenous nerve, and saphenous vein in percutaneous fixation of the distal fibula and tibia.
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