Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui, NT, Hong Kong Special Administrative Region.
Foot Ankle Surg. 2014 Dec;20(4):248-52. doi: 10.1016/j.fas.2014.06.002. Epub 2014 Jul 1.
Open curettage and bone grafting of the huge talar cysts may need extensive soft tissue dissection or even different types of malleolar osteotomy to access the lesion. Arthroscopic approach can minimize soft tissue dissection or the need for malleolar osteotomy. Careful pre-operative planning of the portal sites allows endoscopic curettage and bone grafting of the lesions with preservation of the articular surfaces.
巨大距骨囊肿的开放刮除和植骨可能需要广泛的软组织解剖,甚至不同类型的踝关节截骨术才能暴露病变。关节镜手术可以将软组织解剖或踝关节截骨术的需求降至最低。仔细的术前入口部位规划可在内镜下刮除病变并植骨,同时保留关节面。