【摘要】 目的 通过测量,研究分析腓骨轴和踝关节骨折线指数在踝关节损伤分型中的应用价值。方法 测量本院217例成人踝关节骨折脱位X线片的腓骨轴和踝关节骨折线指数并对其分型。结果 本组217例,其中9例为撕脱骨折无法测量,另31例不能完全确定,其余176例全部能确定损伤类型,成功率达81.6％。结论 利用腓骨轴和踝关节骨折线指数对踝关节损伤进行分型具有较高的参考价值,但内侧单踝骨折利用此法在鉴别外旋、外翻时缺乏特异性,需结合其他X线表现综合分析。更多还原

【Abstract】 Objective To evaluate the fracture line index of fibular stalk and the ankle joint bone in the classification of the ankle joint trauma. Methods Measure fracture line index of fibular stalk and the ankle joint in 217 adult cases of fracture and dislocation of ankle joint. And the cases were classified by the results of the measurement. Results Measurement was unavailable in 9 cases of tearing fracture. In 31 cases, the lesions could not be particularly classified. And in the rest 176 cases the trauma were precisely classified. The over all successful rate was 81.6%. Conclusion Fracture line index of fibular stalk and the ankle joint bone are valuable in classification of the trauma of the angle joint. While the specificity of this method is low in differentiating the adducting and abducting fracture of the medial angle, in which a combined investigation is recommended.更多还原