早读 | 距骨骨折的手术入路及治疗技巧详解，值得一看！

张朝驹 2019-10-09

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距骨其表面大约被60％--70％关节软骨覆盖，是全身唯一无肌肉附着的骨骼，本身没有独立的供养血管，仅通过增厚的韧带与关节囊分布供应其血运，由于这些解剖特征，距骨骨折后缺血坏死、创伤性关节炎是其主要并发症，距骨骨折、脱位需要切开复位时，手术入路会造成距骨血运的破坏，结果造成距骨缺血坏死，所以我们在选择手术入路时不仅要根据骨折类型、固定方式，更应该选择合适的手术入路，避免因手术操作本身所造成的距骨血供的损害，采用踝关节前内侧入路治疗距骨颈、体部骨折，有效地保护了距骨损伤后未遭破坏的主要供血动脉,避免了因常规的手术入路所致的供血动脉损伤的可能性。通过选择踝关节前内侧入路手术治疗距骨骨折，进一步指导和验证此入路治疗距骨骨折降低了骨折后缺血性坏死率，疗效确切，降低距骨骨折后缺血坏死等并发症，今天早读就为大家分享经踝关节前内侧入路治疗距骨骨折，值得大家学习参考！

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