Roberts C, Sherman O, Bauer D, Lusskin R
Department of Orthopedic Surgery, New York University Medical Center, New York 10016.
Foot Ankle. 1992 Jan;13(1):7-13. doi: 10.1177/107110079201300102.
Malunion of ankle fractures will lead to severe osteoarthritis when the architecture and mechanics of the talocrural joint are deranged. When fibular shortening is present, ankle reconstruction can be achieved by fibular lengthening and can provide an alternative to early arthrodesis for deformity and pain. Acceptable clinical and radiographic results can be achieved, provided that accurate reconstruction is achieved and intra-articular osteochondral injury is minimal. Restoration of fibular length, necessary for a good clinical result, can be estimated radiographically by the bimalleolar angle. We report three cases of ankle reconstruction by fibular lengthening with an average follow-up of 33 months.
踝关节骨折畸形愈合会导致距小腿关节的结构和力学紊乱，进而引发严重的骨关节炎。当存在腓骨短缩时，可通过腓骨延长实现踝关节重建，这为畸形和疼痛的早期关节融合术提供了一种替代方法。只要实现精确重建且关节内骨软骨损伤最小，就能取得可接受的临床和影像学结果。良好临床效果所必需的腓骨长度恢复，可通过双踝角进行影像学评估。我们报告了3例腓骨延长踝关节重建病例，平均随访33个月。
