胫骨远端内侧入路钢板螺钉危险区解剖研究

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Abstract Objective To identify the danger zone in the treatment of distal tibia fractures using locking plate by anteromedial approach.Methods This study was performed on 10 fresh lower limbs.Each leg was fixed with 14-hole plate.Clearing the application of medial distal tibia anatomical plate and screw fixation distribution region and influence on the anterior tibial artery.Results The average tibia length was 38.6cm.The danger zone for the anterior tibial artery averaged of the tibia length from the medial malleolus(15.4±3.3)cm(99% CI：36.6，42.4).Conclusion from this anatomy study，the danger zone could be determined as a percentage of tibia length，then the injury could be avoided through the operation.

Key words： distal tibia fracture anterior tibial artery injury applied anatomy

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2018/V24/I5/431

［1］Joveniaux P，Ohl X，Harisboure A，et al.Distal tibia fractures：management and complications of 101 cases［J］.Int Orthop，2010，34(4)：583-588.
［2］Seel EH，Noble S，Clarke NM，et al.Outcome of distal tibial physeal injuries.［J］.J Pediatr Orthop B，2011，20(4)：242-248.
［3］Heidari N，Lidder S，Grechenig W，et al.The risk of injury to the anterior tibial artery in the posterolateral approach to the tibia plateau：a cadaver study［J］.J Orthop Trauma，2013，27(4)：221-225.
［4］Wolinsky P，Lee M.The distal approach for anterolateral plate fixation of the tibia：an anatomic study［J］.J Orthop Trauma，2008，22(6)：404-407.
［5］Alajmo G，Schlegel U，Gueorguiev B，et al.Plunging when drilling：effect of using blunt drill bits［J］.J Orthop Trauma，2012，26(8)：482-487.
［6］邝国军，骆永锋，吴俊，等.两种微创疗法治疗胫骨远端骨折临床疗效分析［J］.实用骨科杂志，2016，22(5)：450-454.
［7］Lau TW，Leung F，Chan CF，et al.Wound complication of minimally invasive plate osteosynthesis in distal tibia fractures［J］.Int Orthop，2008，32(5)：697-703.
［8］Grose A，Gardner MJ，Hettrich C，et al.Open reduction and internal fixation of tibial pilon fractures using a lateral approach［J］.J Orthop Trauma，2007，21(8)：530-537.
［9］Ronga M，Longo UG，Maffulli N.Minimally invasive locked plating of distal tibia fractures is safe and effective［J］.Clin Orthop Relat Res，2010，468(4)：975-982.
［10］张发平，何罗彬，罗仕武，等.微创经皮锁定钢板内固定治疗胫腓骨骨折疗效评价［J］.实用骨科杂志，2014，20(1)：26-28.
［11］Ucerler H，Ikiz AA，Uygur MA，et al.A cadaver study on preserving peroneal nerves during ankle arthroscopy［J］.Foot Ankle Int，2007，28(11)：1172-1178.
［12］李树秋，姚艳丽.小腿闭合性动脉损伤诊疗体会［J］.实用骨科杂志，2010，16(1)：78-79.
［13］王培信，刘玉刚，曾波，等.腘动脉闭合性损伤临床与解剖学分析［J］.中国误诊学杂志，2003，3(5)：684-685.
［14］Aschoff AJ，Stuber G，Becker BW，et al.Evaluation of acute mesenteric ischemia：accuracy of biphasic mesenteric multi-detector CT angiography［J］.Abdom Imaging，2009，34(3)：345-357.
［15］Ofer A，Abadi S，Nitecki S，et al.Multidetector CT angiography in the evaluation of acute mesenteric ischemia［J］.Eur Radiol，2009，19(1)：24-30.
［16］何伟红，李敏红，柯祺，等.下肢动脉损伤MSCTA诊断及误诊漏诊原因分析［J］.临床放射学杂志，2016，35(3)：428-431.
［17］谷艳超，刘世清，明江华，等.腘动脉损伤32例临床分析［J］.创伤外科杂志，2017，19(1)：55-58.
［18］Singh S，Arora S，Thora A，et al.Pseudoaneurysm of profunda femoris artery following dynamic hip screw fixation for intertrochanteric femoral fracture［J］.Chin J Traumatol，2013，16(4)：233-236.