运动员下胫腓联合损伤三联征二次术后康复治疗1例——反思与改进金晨.doc

运动员下胫腓联合损伤三联征二次术后康复治疗1例——反思与改进 金晨1 李婧1 徐金成2 1国家体育总局训练局体能康复中心（北京 100061） 2 国家体育总局体育科学研究所 摘要 目的： 探讨下胫腓联合损伤三联征二次术后的康复治疗方法。方法： 报导1例乒乓球运动员下胫腓分离合并外踝骨折、距腓前韧带和内踝三角韧带断裂术后，因过早负重造成内固定螺钉断裂并行二次手术后的康复治疗过程，通过分析康复评定结果发现患者继发踝关节功能障碍并做改进治疗。结果： 改进治疗前患者除单腿下蹲受限外其余各项指标基本恢复正常，通过1周改进治疗患者单腿下蹲出现好转，3个月后随访已正常随队训练。结论： 通过综合康复、评估反馈再改进的方式可应对下胫腓联合损伤三联征二次术后这样复杂的康复个案，但需要更多样本量积累。 关键词 下胫腓联合；外踝骨折；三角韧带；距腓前韧带；内固定断裂；康复治疗 Jin chen1 li jing1 Xu jin cheng2 Postsurgical Rehabilitation treatment for distal tibiofibular syndesmosis injury triad in athlete: a case study and reflections and improvements 1 Rehabilitation center of National sports training center ,Beijing ,China 100061 2 China institute of sport science Abstract: Objective to investigate rehabilitation treatment methods for distal tibiofibular syndesmosis injury triad after second surgery. Methods Postsurgical rehabilitation treatment procedures were reported in one table tennis athlete who received second surgery for the internal fixation screw rupture due to weight bearing too early after his first surgery for distal tibiofibular syndesmosis diastasis combined with lateral malleolus fracture, ligamenta talofibulare anterius and deltoid ligament rupture. By analyzing rehabilitation assessment results, a secondary posttraumatic ankle disfunction was detected and following improved treatments were implemented. Results Results:before improve the treatment,all the data of ankle functional index are normaly except the single leg squat is still limited，the rest of the indicators by one week improvement under the treatment of patients with single leg squat improvement,after three months follow-up has normal training with the team. Conclusion Through comprehensive rehabilitation, assessment feedback and further treatment improvement, complex cases as rehabilitating distal tibiofibular syndesmosis injury triad after second injury could be well handled, however, more cases should be collected and investigated. Key words:distal tibio-fibular syndesmosis;later