下胫腓螺钉固定.pdf

SYNDESMOSIS SCREWS --WHEN NECESSARY? Wang Manyi Beijing Jishuitan Hospital  The stabilization structures of ankle can be divided into three complexes (medial, lateral and syndesmosis).  If two of the three complexes can be restored, the mortise can be stabilized. AO-Danis-Weber classification of ankle fractures  Type A: syndesmosis complex is intact  Type B: interosseous membrane is intact, syndesmosis complex is usually stable  Type C: interosseous membrane is usually torn to the level of fibular fracture Ⅰ, Type A Does this fracture dislocation need syndesmosis screws?  After the lateral malleolus was reduced and fixed, two complexes was restored.  Syndesmosis screws were not necessary. Ⅱ, Type B Does this fracture dislocation need syndesmosis screws? Syndesmosis screws were not necessary. So, type A and type B fracture dislocation usually need no syndesmosis screws.  The syndesmosis complex is stable.  Two complexes can be restored, after fixing the lateral malleolus. Ⅲ, Type C ? Does this fracture dislocation need syndesmosis screws?  Deep deltoid ligament and