胫腓骨近端螺钉固定腓骨头撕脱骨折：技术指南及临床经验

Q4 Medicine

Trauma Case Reports Pub Date : 2025-05-01 DOI:10.1016/j.tcr.2025.101175

Ryan A. Paul , Shu Yang Hu , Ananya Pathak , Ryan Khan , Daniel B. Whelan

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引用次数: 0

摘要

背景：腓骨头撕脱骨折常伴有后外侧角损伤。传统的固定包括经骨或锚定缝合技术。目的：本文报道一名外科医生在三级转诊中心使用空心螺钉固定腓骨头撕脱性骨折。方法2006 ~ 2022年对37例腓骨头撕脱性骨折行切开复位内固定治疗。结果最终随访（平均3.5年±2.5年）所有骨折均顺利愈合。所有患者均恢复了功能活动范围，平均伸直1度（中位0度，范围0至- 5度），平均屈曲121度（中位127.5度，范围90至135度）。结论：我们的研究结果表明，跨多个皮质的空心螺钉提供了坚固的固定，并允许早期运动。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Fixation of fibular head avulsion fractures with the proximal tibiofibular screw: Technique guide and clinical experience

Background

Fibular head avulsion fractures are often associated with posterolateral corner injuries. Conventional fixation have consisted of transosseous or anchor-based suture techniques.

Purpose

This technique paper reports on the use of a cannulated screw for fixation of fibular head avulsion fractures by a single surgeon at a tertiary referral center.

Methods

Thirty-seven patients underwent open reduction and internal fixation of fibular head avulsion fractures between 2006 and 2022.

Results

At final follow up (mean 3.5 years ± 2.5) all fractures went on to bony union. All patients regained functional range of motion with mean extension of 1 degree (median 0 degrees, range 0 to −5 degrees) and mean flexion of 121 degrees (median 127.5 degrees, range 90 to 135 degrees).

Conclusion

Our results suggest that a cannulated screw across multiple cortices provides robust fixation and allows for early motion.

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来源期刊

Trauma Case Reports Medicine-Emergency Medicine

CiteScore

0.60

自引率

0.00%

发文量

131

审稿时长

26 weeks

期刊介绍： Trauma Case Reports is the only open access, online journal dedicated to the publication of case reports in all aspects of trauma care and accident surgery. Case reports on all aspects of trauma management, surgical procedures for all tissues, resuscitation, anaesthesia and trauma and tissue healing will be considered for publication by the international editorial team and will be subject to peer review. Bringing together these cases from an international authorship will shed light on surgical problems and help in their effective resolution.