Abbo Olivier, Accadbled Frank, Laffosse Jean-Michel, De Gauzy Jérome Sales
Service d'Orthopédie Traumatologie, Hôpital des Enfants de Toulouse, Toulouse, France.
J Pediatr Orthop B. 2012 Sep;21(5):434-8. doi: 10.1097/BPB.0b013e328348da0d.
Traumatic osteoarticular or ligament defect of the tibial medial malleolus is a rare entity in children. Associated lesions may include soft tissue and joint defect, subsequent instability of the ankle, and growth arrest. We report here, the case of an 11-year-old boy, a victim of a severe trauma to the ankle, managed by an original technique. It combined a reconstruction by a composite iliac crest and gluteal fascia graft, an anticipatory Langenskiold procedure, and a serratus anterior muscle flap. This original technique proved to be a suitable alternative in this type of trauma.
儿童胫骨内侧踝创伤性骨关节或韧带缺损是一种罕见的病症。相关病变可能包括软组织和关节缺损、随后的踝关节不稳定以及生长停滞。我们在此报告一名11岁男孩的病例，他因踝关节严重创伤接受了一种创新技术治疗。该技术结合了髂嵴和臀筋膜复合移植重建、预防性朗根斯基öld手术以及前锯肌肌瓣。这种创新技术被证明是这类创伤的一种合适替代方法。
