Abstract：Objective To investigate the value of the new method in the distal tibiofibular syndesmosis reduction of ankle fracture combined with distal tibiofibular syndesmosis injury during operations.Methods A retrospective analysis of 24 operative cases of ankle fractures with distal tibiofibular syndesmosis injury from February 2014 to May 2017 was performed.There were18 males and 6 females，which aged 24~65 years old.The average age was(37.5±6.9).The reduction of the distal tibiofibular syndesmosis was determined by tibiofibular clear space，tibiofibular overlap，ankle medial space and “the front profile”.Distance from fibular anterior-posterior edge to syndesmosis (G value) were measured on the CT scans.Comparisons were conducted between the X-ray films to evaluate their diagnostic efficacy，with G value as a golden standard.American Orthopedic Foot and Ankle Society (AOFAS) scores were used to assess the clinical outcome.Results Of the 24 cases，4(16.7%) were diagnosed with syndesmosis malreduction evaluated with G value.All the patients were followed up for 12 to 46 months (average，16.6 months).No non-union，screw breakage，or syndesmosis separation after screw removal occurred.The American Orthopaedic Foot and Ankle Society (AOFAS) scoring showed a good/excellent rate of 91.7%.Conclusion The observation of tibiofibular clear space，tibiofibular overlap，ankle medial space combined with “the front profile” can improve the reduction of the distal tibiofibular syndesmosis and function of ankle.
王志生 1，杨海涛 2，吴志新 1，吴爱民 1. 一种新型方法评估下胫腓关节损伤的临床意义[J]. 实用骨科杂志, 2019, 25(7): 596-598.
Wang Zhisheng 1，Yang Haitao 2，Wu Zhixin 1，et al. Significance of A New Method for the assessment in the Distal Tibiofibular Syndesmosis Injury. sygkzz, 2019, 25(7): 596-598.
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