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ПОКАЗАНИЯ К СТАБИЛИЗАЦИИ МЕЖБЕРЦОВОГО СИНДЕСМОЗА

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Аннотация

Повреждения межберцового синдесмоза чаще всего происходит при переломе лодыжек, механизм травмы в большинстве случаев пронационно- наружноротационный. Межберцовый синдесмоз окружают важные для стабильности голеностопного сустава связки: передняя межберцовая связка, задняя межберцовая связка и межкостная мембрана. Несмотря на многочисленные биомеханические и клинические исследования, посвященные пере- лому лодыжек, нет единых рекомендаций по вопросу стабилизации межберцового синдесмоза при различных типах переломов.

Об авторах

Ф. Л. Лазко
Российский университет дружбы народов, Москва. ГБУЗ ГКБ № 67 им Л.А. Ворохобова
Россия


Л. О. Кнеллер
Российский университет дружбы народов, Москва. ГБУЗ ГКБ № 67 им Л.А. Ворохобова
Россия


А. Ю. Семенов
Российский университет дружбы народов, Москва. ГБУЗ ГКБ № 67 им Л.А. Ворохобова
Россия


Д. А. Романов
Российский университет дружбы народов, Москва. ГБУЗ ГКБ № 67 им Л.А. Ворохобова
Россия


М. Ф. Лазко
Российский университет дружбы народов, Москва. ГБУЗ ГКБ № 67 им Л.А. Ворохобова
Россия


Н. В. Загородний
Российский университет дружбы народов, Москва. ГБУЗ ГКБ № 67 им Л.А. Ворохобова
Россия


Список литературы

1. Wuest TK. Injuries to the distal lower extremity syndesmosis. J Am Acad Orthop Surg 5:172-181, 1997

2. Fritschy D. An unusual ankle injury in top skiers. Am J Sports Med 17:282-285, 1989

3. Hopkinson WJ, St Pierre P, Ryan JB, Wheeler JH. Syndesmosis sprains of the ankle. Foot Ankle 10:325-330, 1990

4. Boytim MJ, Fischer DA, Neumann L. Syndesmotic ankle sprains. Am J Sports Med 19:294-298, 1991

5. Kelikian H, Kelikian AS. Disorders of the Ankle. WB Saunders, Philadelphia, 1985

6. Xenos JS, Hopkinson WJ, Mulligan ME, Olson EJ, Popovic NA. The tibiofibular syndesmosis. Evaluation of the ligamentous structures, methods of fixation, and radiographic assessment. J Bone Joint Surg Am 77:847- 856, 1995

7. Van den Bekerom MPJ, Raven EEJ. The distal fascicle of the ante- rior inferior tibiofibular ligament as a cause of tibiotalar impingement syn- drome. A current concepts review. knee Surg Sports Traumatol Arthrosc 154:465- 471, 2007

8. Miller CD, Shelton WR, Barrett GR, Savoi FH, Dukes AD. Deltoid and syndesmosis ligament injury of the ankle without fracture. Am J Sports Med 23:746 -750, 1995

9. Scranton PE. Isolated syndesmotic injuries: diastasis of the ankle in the athlete. Tech Foot Ankle Surg 1:88-93, 2002

10. Thomas KA, Harris MB, Willis MC, Lu Y, MacEwen GD. The ef- fects of the interosseous membrane and partial fibulectomy on loading of the tibia: a biomechanical study. Orthopedics 18:373-383, 1995

11. Bartonicek J. Anatomy of the tibiofibular syndesmosis and its clini- cal relevance. Surg Radiol Anat 25:379 -386, 2003

12. Boden SD, Labropaulos PA, McCowin P, Lestini WF, Hurwitz SR. Mechanical considerations for the syndesmosis screw. J Bone Joint Surg 71A:1548, 1989

13. Close JR. Some applications of the functional anatomy of the ankle joint. J Bone Joint Surg Am 38A:761-781, 1956

14. Rasmussen O, Tovborg-Jensen I, Boe S. Distal tibiofibular liga- ments. Analysis of function. Acta Orthop Scand 53:681-686, 1982

15. Grath G. Widening of the ankle mortise: a clinical and experimen- tal study. Act Chir Scand Suppl 263:1-88, 1960

16. Peter RE, Harrington RM, Henley MB, Tencer AF. Biomechanical effects of internal fixation of the distal tibiofibular syndesmotic joint: com- parison of two techniques. J Orthop Trauma 8:215-219, 1994

17. Scranton PE, McMaster J, Kelly E. Dynamic fibular functions. Clin Orthop 188:76 - 81, 1976

18. Minns RJ, Hunter JAA. The mechanical and structural characteris- tics of the tibiofibular interosseous membrane. Acta Orthop Scand 47: 236 -240, 1976

19. Skraba JS, Greenwald AS. The role of the interosseous membrane on tibiofibular weightbearing. Foot Ankle 4:301-304, 1984

20. Vukicevic S, Stern-Padovan R, Vukicevic D, Keros P. Holographic investigations of the human tibiofibular interosseous membrane. Clin Or- thop 151:210 -214, 1980

21. Takebe K, Nakagawa A, Minami H, Kanazawa H, Hirohata K. Role of the fibula in weightbearing. Clin Orthop 184:289-292, 1984

22. Riegels-Nielsen P, Greiff J. The stability of the tibiofibular syndes- mosis following rigid internal fixation for type C malleolar fractures: an experimental and clinical study. Injury 14:357-360, 1983

23. Jensen SL, Andresen BK, Mencke S, Nielsen PT. Epidemiology of ankle fractures: a prospective population-based study of 212 cases in Aal- borg, Denmark. Acta Orthop Scand 69:48-50, 1998

24. Thordarson DB, Hedman TP, Gross D, Magre G. Biomechanical evaluation of polylactide absorbable screws used for syndesmosis injury repair. Foot Ankle Int 18:622-627, 1997

25. Seitz WH Jr, Bachner EJ, Abram LJ, Postak P, Polando G, Brooks DB, Greenwald AS. Repair of the tibiofibular syndesmosis with a flexible implant. J Orthop Trauma 51:78 - 82, 1991

26. Court-Brown CM, McBirnie J, Wilson G: Adult ankle fractures: an increasing problem? Acta Orthop Scand 69:43-47, 1998

27. Kennedy JG, Johnson SM, Collins AL, DalloVedova P, McManus WF, Hynes DM, Walsh MG, Stephens MM. An evaluation of the Weber classification of ankle fractures. Injury 29:577-580, 1998

28. Pettrone FA, Gail M, Pee D, Fitzpatrick T, Van Herpe LB. Quan- titative criteria for prediction of the results after displaced fracture of the ankle. J Bone Joint Surg 65A:667-677, 1983

29. Guise ER. Rotational ligamentous injuries to the ankle in football. Am J Sports Med 4:1- 6, 1976

30. Lauge-Hansen N. Fractures of the ankle II. Combined experimen- talsurgical and experimental-roentgenologic investigations. Arch Surg 60:957-985, 1950

31. Joy G, Patzakis MJ, Harvey JP Jr. Precise evaluation of the reduc- tion of severe ankle fractures. Technique and correlation with end results. J Bone Joint Surg 58A:979 -993, 1974

32. Bolin H. The fibula and its relationship to the tibia and talus in in- juries of the ankle due to forced external rotation. Acta Radiol 56:439 - 448, 1962

33. Chissell HR, Jones J. The influence of diastasis screws on the out- come of Weber C ankle fractures. J Bone Joint Surg Br 773:435- 438, 1995

34. Harper MC, Keller TS. A radiographic evaluation of the tibiofibu- lar syndesmosis. Foot Ankle 10:156 -160, 1989

35. Jenkinson RJ, Sanders DW, Macleod MD, Domonkos A, Lyd- estadt J. Intraoperative diagnosis of syndesmosis injuries in external rota- tion ankle fractures. J Orthop Trauma 199:604 - 609, 2005

36. Lindsjö U. Operative treatment of ankle fractures. Acta Orthop Scand Suppl 52:1-131, 1981. 37. Pankovich AM. Maisonneuve fracture of the fibula. J Bone Joint Surg 58A:337-342, 1976. Nielson JH, Sallis JG, Potter HG, Helfet DL, Lorich DG. Corre- lation of interosseous membrane tears to the level of the fibular fracture. J Orthop Trauma 182:68 -74, 2004

37. Pankovich AM. Fractures of the fibula proximal to the distal tibio- fibular syndesmosis. J Bone Joint Surg 60A:221-229, 1978

38. Ebraheim NA, Elgafy H, Padanilam T. Syndesmotic disruption in low fibular fractures associated with deltoid ligament injury. Clin Orthop Relat Res 409:260 -267, 2003

39. Stiehl JB. Complex ankle fracture dislocations with syndesmotic diastasis. Orthop Rev 19:499 -507, 1990

40. Amendola A. Controversies in diagnosis and management of syn- desmosis injuries of the ankle. Foot Ankle 13:44-50, 1992

41. Whittle AP. Fractures of the lower extremity. In Campbell’s Ope- rative Orthopaedics, ed 39, pp 2046-2048, edited by ST Canale, St Louis. Mosby, 1998

42. Müller ME, Algöwer M, Schneider R, et al. Malleolar fractures. In Manual of Internal Fixation, ed 3, pp 595-612, Springer-Verlag, 1991

43. Lui TH, Ip K, Chow HT. Comparison of radiologic and ar- throscopic diagnoses of distal tibiofibular syndesmosis disruption in acute ankle fracture. Arthroscopy 21(11):1370, 2005

44. Jenkinson RJ, Sanders DW, Macleod MD, Domonkos A, Lyd- estadt J. Intraoperative diagnosis of syndesmosis injuries in external rota- tion ankle fractures. J Orthop Trauma 199:604 - 609, 2005

45. Candal-Couto JJ, Burrow D, Bromage S, Briggs PJ. Instability of the tibio-fibular syndesmosis: have we been pulling in the wrong direction? Injury 358:814 - 818, 2004

46. Mizel MS. Technique tip: a revised method of the Cotton test for intra-operative evaluation of syndesmotic injuries. Foot Ankle Clin 24:86 - 87, 2003

47. Sclafani SJA. Ligamentous injury of the lower tibiofibular syndes- mosis: radiographic evidence. Radiology 156:21-27, 1985

48. Van den Bekerom MPJ, Raven EEJ. Review of operative techniques for stabilising the distal tibiofibular syndesmosis. Foot Ankle Int. In press

49. Kaukonen JP, Lamberg T, Korkala O, Pajarinen J. Fixation of syn- desmotic ruptures in 38 patients with a malleolar fracture: a randomized study comparing a metallic and a bioabsorbable screw. J Orthop Trauma 196:392-395, 2005

50. Cox S, Mukherjee DP, Ogden AL, Mayuex RH, Sadasivan KK, Albright JA, Pietrzak WS. Distal tibiofibular syndesmosis fixation: a ca- daveric, simulated fracture stabilization study comparing bioabsorbable and metallic single screw fixation. J Foot Ankle Surg 442:144 -151, 2005

51. Korkala O, Kiljunen V, Salminen S, Kuokkanen H, Niskanen R. Biodegradable screw fixation of the syndesmosis together with metal- lic osteosynthesis. Preliminary experience of 7 ankles. Ann Chir Gynaecol 884:295-297, 1999

52. Miller SD, Carls RJ. The bioresorbable syndesmotic screw: appli- cation of polymer technology in ankle fractures. Am J Orthop 31(1 Sup- pl):18-21, 2002

53. Hovis WD, Kaiser BW, Watson JT, Bucholz RW. Treatment of syn- desmotic disruptions of the ankle with bioabsorbable screw fixation. J Bone Joint Surg Am 84A1:26-31, 2002

54. Sinisaari IP, Luthje PM, Mikkonen RH. Ruptured tibiofibular syndesmosis: comparison study of metallic to bioabsorbable fixation. Foot Ankle Int 238:744-748, 2002

55. Thordarson DB, Samuelson M, Shepherd LE, Merkle PF, Lee J. Bioabsorbable versus stainless steel screw fixation of the syndesmosis in pronation-lateral rotation ankle fractures: a prospective randomized trial. Foot Ankle Int 224:335-338, 2001

56. Yde J, Kristensen KD. Inferior tibio-fibular diastasis treated by staple fixation. J Trauma 21:483-485, 1981

57. Cedell CA, Wiberg G. Treatment of eversion-supination fractures of the ankle (2de degree). Acta Chir Scand 124:41-44, 1962

58. ElRayes M, Hammoda A. Screw versus staple in stabilization of diastasis of tibiofibular syndesmosis. J Foot Ankle Surg 131:5-9, 2007

59. Marqueen T, Owen J, Nicandri G, Wayne J, Carr J. Comparison of the syndesmotic staple to the transsyndesmotic screw: a biomechanical study. Foot Ankle Int 263:224-230, 2005

60. vRelwani J, Lahoti O, Orakwe S. Ilizarov ring fixator for a difficult case of ankle syndesmosis disruption. J Foot Ankle Surg 415:335- 337, 2002

61. Thornes B, Walsh A, Hislop M, et al. Suture-endobutton fixation of ankle tibiofibular diastasis: a cadaver study. Foot Ankle Int 242:142- 146, 2003

62. Thornes B, Walsh A, Hislop M, Murray P, O’Brien M. Sutureen- dobutton fixation of ankle tibiofibular diastasis: a cadaver study. Foot Ankle Int 242:142-146, 2003

63. Thornes B, Shannon F, Guiney AM, Hession P, Masterson E. Su- turebutton syndesmosis fixation: accelerated rehabilitation and improved outcomes. Clin Orthop Relat Res 431:207-212, 2005

64. FarhanMJ, SmithTW. Fixation of diastasis of the inferiortibiofibular joint using the syndesmosis hook. Injury 165:309-311, 1985

65. Engelbrecht E. Die Versorgung Tibio-fibular Syndesmosenspren- gungen mit dem Syndesmosen-Haken. Chirurg 42:92, 1971

66. Engelbrecht E, Engelbrecht H, Huynh PL. Experiences with the syndesmotic hook in tibiofibular ligament injuries. Der Chirurg 5511: 749-755, 1984

67. Grady JF, Moore CJ, O’Connor KJ, La Montagne D. The use of a transsyndesmotic bolt in the treatment of tibiofibular diastasis: two case studies. J Foot Ankle Surg 346:571-576, 1995

68. Burns BH. Diastasis of the inferior tibiofibular joint. Proc Roy Soc Med 36:330-332, 1942-1943

69. Fusi F. La diastasi tibio-peroneale inferior. Minerva Ortop 7:450- 485, 1956

70. Pagani A, Ronco G. Il cachiaggio trans-osseo con filo metalico nel trattamento della diastasi della sundesmosi tibio-peroneale. Minerva Ortop 31:149 -158, 1980

71. Kabukcuoglu Y, Kucukkaya M, Eren T, Gorgec M, Kuzgun U. The Ank device: a new approach in the treatment of the fractures of the lateral malleolus associated with the rupture of the syndesmosis. Foot Ankle Int 219:753-758, 2000

72. Kara AN. A biomechanical experimental study on the stability of syndesmosis ligaments of the ankle and the results of the treatment by a new osteosynthesis device we have applied to diastasis of traumatic tibio- fibular syndesmosis. Thesis, Istanbul, 1982

73. Kara AN, Esenyel CZ, Sener BT, Merih E. A different approach to the treatment of the lateral malleolar fractures with syndesmosis injury: the Ank nail. J Foot Ankle Surg 386:394 - 402, 1999

74. Grass R, Rammelt S, Biewener A, Zwipp H. Peroneus longus liga- mentoplasty for chronic instability of the distal tibiofibular syndesmosis. Foot Ankle Int 24:392-397, 2003

75. Bai XD, Xing GY, Yang CD, Ye QB. Operative treatment for separa- tion of distal tibiofibular syndesmosis. Chin J Traumatol 93: 175-180, 2006

76. Beumer A, Heijboer RP, Fontijne WP, Swierstra BA. Late recon- struction of the anterior distal tibiofibular syndesmosis. Good outcome in 9 patients. Acta Orthop Scand 715:519-521, 2000

77. Burwell HN, Charnley AD. The treatment of displaced fractures at the ankle by rigid internal fixation and early joint movement. J Bone Joint Surg 47B:634-660, 1965

78. De Souza LJ, Gustilo RB, Meyer TJ. Results of operative treatment of displaced external rotation-abduction fractures of the ankle. J Bone Joint Surg Am 67:1066-1074, 1985

79. Olerud C. The effects of the syndesmotic screw on the extension capacity of the ankle joint. Arch Orthop Trauma Surg 104:299-304, 1985

80. Solonen KA, Lauttamus L. Operative treatment of ankle fractures. Acta Orthop Scand 39:223-237, 1968

81. Yde J, Kristensen KD. Inferior tibio-fibular diastasis treated by staple fixation. J Trauma 21:483-485, 1981

82. Colton CL. The treatment of Dupuytren’s fracture-dislocation of the ankle. J Bone Joint Surg 53-B(1):63-71, 1971

83. McMaster J, Scranton PE. Tibiofibular synostosis. Clin Orthop III: 172, 1975

84. Kaye RA. Stabilization of ankle syndesmosis injuries with a syndes- mosis screw. Foot Ankle 9:290-293, 1989

85. Stiehl JB, Needleman RR, Skrade DA. The biomechanical effect of the syndesmotic screw on ankle motion. AO/ASIF Dialogue 22:1-3, 1989

86. Taylor DC, Englehardt DL, Bassett FH III. Syndesmosis sprains of the ankle: the influence of heterotopic calcification. Am J Sports Med 20:146-150, 1992

87. Albers GH, de Kort AF, Middendorf PR, van Dijk CN. Distal tib- iofibular synostosis after ankle fracture. A 14-year follow-up study. J Bone Joint Surg Br 78:250-252, 1996

88. Karlsson J, Rudholm O, Bergsten T, Faxén E, Styf J. Early range of motion training after ligament reconstruction of the ankle joint. knee Surg Traumatol Arthrosc 3:173-177, 1995

89. Weening B, Bhandari M. Predictors of functional outcome follow- ing trans-syndesmotic screw fixation of ankle fractures. J Orthop Trauma 192:102-108, 2005

90. Mast JW, Teipner WA. A reproducible approach to internal fixation of adult ankle fractures, rationale, technique, and early results. Orthop Clin north Am 11:661-679, 1980

91. Burns WC 2nd, Prakash K, Adelaar R, Beaudoin A, Krause W. Tibiotalar joint dynamics: indications for the syndesmotic screw-a cadav- eric study. Foot Ankle 143:153-158, 1993

92. Purvis GD. Displaced unstable ankle fractures. Classification, incidence, and management of a consecutive series. Clin Orthop 165: 91-98, 1982

93. Wilson FC Jr, Skilbred LA. Long term results in the treatment of displaced bimalleolar fractures. J Bone Joint Surg 48-A:1065-1078, 1966

94. Kennedy JG, Soffe KE, Dalla Vedova P, Stephens MM, O’Brien T, Walsh MG, McManus F. Evaluation of the syndesmotic screw in low Weber C ankle fractures. J Orthop Trauma 145:359-366, 2000

95. Wyss C, Zollinger H. The cause of subsequent arthrodesis of the ankle joint. Acta Orthop Belg Suppl 57:22-27, 1991

96. Yablon I. Reduction of displaced bimalleolar ankle fractures. In- struction Course lectures of the American Academy of Orthopedics, vol 28, St Louis, C.V. Mosby, 1979

97. Yablon I, Heller F, Shouse L. The key role of the lateral malleolus in displaced fractures of the ankle. J Bone Joint Surg 59A:169-173, 1977

98. Ramsey P, Hamilton W. Changes in tibiotalar area of contact caused by lateral talar shift. J Bone Joint Surg 58A:356-357, 1976

99. Mont MA, Sedlin ED, Weiner LS, Miller AR. Postoperative ra- diographs as predictor of clinical outcome in unstable ankle fractures. J Orthop Trauma 6:652-657, 1992

100. Yamaguchi K, Martin CH, Boden SD. Operative treatment of syndesmotic disruptions without use of a syndesmotic screw: a prospective clinical study. Foot Ankle Int 158:407-414, 1994

101. Zindrick MR, Hopkins GE, Knight GW. The effects of lateral talar shift upon the biomechanics of the ankle joint. Orthop Trans 9:332- 333, 1985

102. Klossner O. Late results of operative and non-operative treatment of severe ankle fractures. Acta Chir Scand 293(Suppl):1-193, 1962.

103. Pereira DS, Koval KJ, Resnick RB, Sheskier SC, Kummer F, Zuckerman JD. Tibiotalar contact area and pressure distribution: the effect of mortise widening and syndesmosis fixation. Foot Ankle Int 17: 269-274, 1996

104. Pettrone FA, Gail M, Pee D, Fitzpatrick T, Van Herpe LB. Quan- titative criteria for prediction of the results after displaced fracture of the ankle. J Bone Joint Surg Am 65:667-677, 1983

105. Roberts RS. Surgical treatment of displaced ankle fractures. Clin Orthop 172:164-170, 1983

106. Veltri DM, Pagnani MJ, O’Brien SJ, Warren RF, Ryan MD, Barnes RP. Symptomatic ossification of the tibiofibular syndesmosis in professional football players: a sequela of the syndesmotic ankle sprain. Foot Ankle Int 16:285-290, 1995

107. Leeds HC, Ehrlich MG. Instability of the distal tibiofibular syn- desmosis after bimalleolar and trimalleolar ankle fractures. J Bone Joint Surg Am 664:490-503, 1984

108. Attarian D, Devito D, Garret W. A biomechanical study of hu- man ankle ligaments and autogenous reconstructive grafts. Surg Rounds Orthop 24-27, 1987

109. Attarian DE, McCrackin HJ, Devito DP, McElhaney JH, Garrett WE Jr. A biomechanical study of human ankle ligaments and autogenous reconstructive grafts. Am J Sports Med 13:377-381, 1985

110. Phillips R, Balmer G, Monk C. The external rotation fracture of the fibular malleolus. Br J Surg 56:801-806, 1969

111. Solari J, Benjamin J, Wilson J, Lee R, Pitt M. Ankle mortise sta- bility in Weber C fractures: indications for syndesmotic fixation. J Orthop Trauma 52:190 -195, 1991

112. Parfenchuck TA, Frix JM, Bertrand SL, Corpe RS. Clinical use of a syndesmotic screw in stage IV pronation-external rotation ankle frac- tures. Orthop Rev Suppl:23-28, 1994

113. Michelson JD, Waldman B. An axially loaded model of the ankle after pronation external rotation injury. Clin Orthop Relat Res Jul(328):285-293, 1996

114. Snedden MH, Shea JP. Diastasis with low distal fibula fractures: an anatomic rationale. Clin Orthop Relat Res 382:197-205, 2001

115. Harper MC, Hardin G. Posterior malleolar fractures of the ankle associated with external rotation-abduction injuries. Results with and with- out internal fixation. J Bone Joint Surg 70:1348-1356, 1988

116. Scheidt KB, Stiehl JB, Skrade DA, Barnhardt T. Posterior mal- leolar ankle fractures: an in vitro biomechanical analysis of stability in the loaded and unloaded states. J Orthop Trauma 6:96-101, 1992

117. Hartford JM, Gorczyca JT, McNamara JL, Mayor MB. Tibiotalar contact area: contribution of posterior malleolus and deltoid ligament. Clin Orthop Relat Res 320:182-187, 1995

118. Heim UF. Trimalleolar fractures: late results after fixation of the posterior fragment. Orthopedics 12:1053-1059, 1989

119. Jaskulka RA, Ittner G, Schedl R. Fractures of the posterior tibial margin: their role in the prognosis of malleolar fractures. J Trauma 29:1565-1570, 1989

120. Macko VW, Matthews LS, Zwirkoski P, Goldstein SA. The joint contact area of the ankle: the contribution of the posterior malleolus. J Bone Joint Surg 73:347-351, 1991

121. McDaniel WJ, Wilson FC. Trimalleolar fractures of the ankle: an end result study. Clin Orthop Relat Res 122:37-45, 1977

122. Meyer TL Jr, Kumler KW. A.S.I.F. technique and ankle fractures. Clin Orthop Relat Res 150:211-216, 1980

123. Stormont DM, Morrey BF, An KN, Cass JR. Stability of the load- ed ankle. Relation between articular restraint and primary and secondary static restraints. Am J Sports Med 13:295-300, 1985

124. Gardner MJ, Brodsky A, Briggs SM, Nielson JH, Lorich DG. Fixation of posterior malleolar fractures provides greater syndesmotic sta- bility. Clin Orthop Relat Res 447:165-171, 2006

125. Lauge Hansen N, Ankelbrurd L. Genetisk diagnose og reposi- tion. Copenhagen Munkdsgaard, 1942

126. Fallat L, Grimm DJ, Saracco JA. Sprained ankle syndrome: prev- alence and analysis of 639 acute injuries. J Foot Ankle Surg 37:280- 285, 1998

127. Beumer A, Valstar ER, Garling EH, Niesing R, Ginai AZ, Rans- tam J, Swierstra BA. Effects of ligament sectioning on the kinematics of the distal tibiofibular syndesmosis: a radiostereometric study of 10 cadaveric specimens based on presumed trauma mechanisms with suggestions for treatment. Acta Orthop 773:531-540, 2006


Для цитирования:


Лазко Ф.Л., Кнеллер Л.О., Семенов А.Ю., Романов Д.А., Лазко М.Ф., Загородний Н.В. ПОКАЗАНИЯ К СТАБИЛИЗАЦИИ МЕЖБЕРЦОВОГО СИНДЕСМОЗА. Московский хирургический журнал. 2017;(6):11-17.

For citation:


Lazko F.L., Kneller L.O., Semenov A.Yu., Romanov D.A., Lazko M.F., Zagorodny N.V. INDICATIONS TO STABILIZATION OF TIBIOFIBULAR SYNDESMOSIS. Moscow Surgical Journal. 2017;(6):11-17. (In Russ.)

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