- 期刊
Modified Blair Method for Ankle Arthrodesis
改良之布萊爾 (Blair) 踝關節黏合術
摘要
把傳統的 Blair 踝關節黏合手術，以腔骨面斜切下滑，上下翻轉，並加上骨螺斯固定經骨及距骨，甚或加上 U 型釘固定踝關節以改良其植骨及固定術法。植骨斜切可得到較大之骨接觸面；上下翻轉以較厚之植骨端揮入距骨，可提供較強之骨橋經得起距骨端之螺絲釘固定；此距骨端之固定可促進骨瘉合且保持踝關節之固定位置。從1987到1990年間有34個患者以此法行踝關節黏合術，其黏合率達91.2% 而平均癒合時間為5.6個月。以這些改良之法，在無關節面施壓之情況下，亦可得到良好的踝關節癒合。
關鍵字
無資料並列摘要
In this study,the ordinary Blair’s ankle arthrodesis was modified by longitudinal oblique cutting to get the sliding bone graft, up side down grafting, and additional screw fixation at talar site with or without staples fixation of tibia-talar junction. The method of ankle arthrodesis was used on 34 cases from 1987 to 1990 with a 91.2% fusion rate and an average 5.6 months fusion time. The oblique cut bone graft provided larger contact surface to enhance bony fusion and the upside- down bone graft provided stronger tibia-talar bone bridge with thicker cortex for distal screw fixation and the distal screw fixation of bone graft to talus had the advantage of securing union and maintaining position. With such modifications, solid ankle arthrodesis could be obtained even without Interarticular compression.
並列關鍵字
ankle arthrodesis延伸閱讀
- 張博涵、黃秀鳳（2009）。貼紮材質於踝關節對硬著地動作之生物力學分析。載於臺北教育大學體育學系（主編），國立臺北教育大學體育學術研討會（頁136-141）。臺北教育大學體育學系。https://doi.org/10.29771/NTUEPE.200906.0136
- Lin, C. Y. (2013). 以黏彈生物力學特性量化評估踝關節之穩定性 [doctoral dissertation, National Taiwan University]. Airiti Library. https://doi.org/10.6342/NTU.2013.01034
- Fu, Y. C., Huang, P. J., Tien, Y. C., Cheng, Y. M., Hung, S. H., Lin, S. Y., Chen, Y. C., Liu, L. L., & Huang, S. H. (1999). 踝關節融合術：非壓迫式內固定及壓迫式內固定之比較. The Kaohsiung Journal of Medical Sciences, 15(9), 550-555. https://doi.org/10.6452/KJMS.199909.0550
- 鄭婷尹（2014）。變換方向跑運動中踝關節貼紮對膝關節生物力學之影響〔碩士論文，高雄醫學大學〕。華藝線上圖書館。https://doi.org/10.6832/KMU.2014.00063
- 鄭世賢（2009）。踝關節貼紮或護具對足踝運動機制影響之探討。大專體育，(100)，180-185。https://doi.org/10.6162/SRR.2009.100.25