[摘 要] 目的：探讨踝关节骨折合并下胫腓联合分离治疗方法。方法：选取我院2008年1月—2010年1月38例踝关节骨折合并下胫腓联合分离患者，行切开复位内固定。对于下胫腓韧带损伤者，以全螺纹螺钉固定下胫腓关节，另加石膏外固定。结果：38例患者随访18个月，Baird-Jackson评分：优26例，良5例，可3例，差4例；优良率81.58%。结论：良好的复位、稳定的固定及积极主动地术后锻炼可使大多数踝关节骨折伴下胫腓联合分离患者恢复踝关节的正常功能。

    [关键词] 踝关节；骨折；下胫腓联合分离

    [Abstract] Objective Of ankle fracture treatment separation of tibiofibular syndesmosis. Method Select the hospital in January 2008 -2010 January 38 cases of ankle fractures in patients with isolated distal tibiofibular joint, open reduction and internal fixation. For the inferior tibiofibular ligament injury to the whole inferior tibiofibular joint screw thread, plus cast immobilization. Result 38 patients followed up for 18 months, Baird-Jackson Rating: excellent in 26 cases, good in 5 cases, 3 cases and poor in 4 cases; good rate of 81.58%. Conclusion Good reduction and stable fixation and after exercise can take the initiative to most of ankle fractures in patients with inferior tibiofibular joint separation to restore the normal function of the ankle joint. ......