关节镜辅助下胫骨 Pilon 骨折畸形愈合的重建及经皮螺钉固定术

Arthroscopically assisted reconstruction and percutaneous screw fixation of a pilon tibial malunion.

作者信息

Nehme Alexandre, Tannous Ziad, Wehbe Joseph, Moucharafieh Ramzi, Maalouf Ghassan

机构信息

Department of Orthopedic Surgery, Saint Georges University Hospital, Balamand University, Beirut, Lebanon.

出版信息

J Foot Ankle Surg. 2007 Nov-Dec;46(6):502-7. doi: 10.1053/j.jfas.2007.08.010.

DOI:10.1053/j.jfas.2007.08.010

PMID:17980852

Abstract

We report a case of distal tibial fracture (AO 43-C3) originally treated with close reduction and ligamentotaxis, which was seen at our institution at 6 weeks with malunion of the medial malleolus. It was successfully treated with arthroscopy-assisted mobilization of the malunion with subsequent percutaneous reduction and fixation. Four months after surgery, with an American Orthopedic Foot and Ankle Society score of 100, the patient felt no pain when walking. Techniques and postoperative treatment are described.

摘要

我们报告一例最初采用闭合复位和韧带牵引治疗的胫骨干骺端骨折（AO 43-C3），该患者在我院就诊时为伤后6周，内踝畸形愈合。通过关节镜辅助下对内踝畸形愈合进行松动，随后经皮复位和固定，成功治疗了该病例。术后4个月，美国足踝外科协会评分为100分，患者行走时无疼痛。文中描述了相关技术及术后治疗情况。