臨床整形外科57巻1号

2022年01月発行

特集 知っておきたい足関節周囲骨折の新展開

遠位脛腓骨靱帯結合の整復状態の術後成績に対する影響

著者： 山口智志¹²

所属機関： ¹千葉大学大学院国際学術研究院 ²千葉大学大学院医学研究院整形外科学

ページ範囲：P.37 - P.42

遠位脛腓骨靱帯結合の損傷は足関節骨折の10〜20％に合併する．脛腓間の固定にはスーチャーボタンやスクリューが用いられるが，良好な整復位を得るのは容易ではない．CTを用いた術後評価では，70％で整復不良が生じたとの報告もある．術中の整復位はX線透視での正確なmortise viewとtalar dome lateral viewで行うが，これらで整復不良を全て検出することは困難である．一方で，近年のシステマティックレビューによると，整復位と臨床成績との関連ははっきりせず，整復位の許容範囲については今後の検討を要する．

参考文献

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