Skolan Vlasta, Šmigovec Igor, Ðapić Tomislav, Antičević Darko
Department of Orthopaedic Surgery, Clinical Hospital Center Zagreb, Zagreb, Croatia.
J Pediatr Orthop B. 2013 Sep;22(5):464-9. doi: 10.1097/BPB.0b013e32835e046f.
Congenital diastasis of the inferior tibiofibular joint is an extremely rare variant of dysplastic tibial anomaly, which is usually associated with significant shortening of the lower leg and ipsilateral foot deformity due to talus incarceration in the distal tibiofibular mortise. The purpose of this study was to present the long-term results of reconstructive treatment and the functional outcome after a follow-up of 11-16 years. The principles of extremity preservation and reconstruction with the Ilizarov frame have shown a stable ankle joint, a plantigrade foot, and fully independent outdoor ambulation in both patients at the final follow-up. We concluded that amputation should not be performed under this condition.
先天性胫腓下关节分离是发育异常性胫骨畸形的一种极其罕见的变异类型，通常因距骨嵌顿于胫腓下关节窝而导致小腿显著缩短和同侧足部畸形。本研究的目的是呈现重建治疗的长期结果以及随访11至16年后的功能结局。采用伊里扎洛夫架进行肢体保留与重建的原则在最终随访时显示，两名患者均拥有稳定的踝关节、跖行足以及完全独立的户外行走能力。我们得出结论，在此种情况下不应进行截肢手术。
