Yassin Mustafa, Garti Avraham, Khatib Muhammad, Weisbrot Moshe, Ashkenazi Uzi, Ram Edward, Robinson Dror
Department of Orthopedics, Hasharon Hospital, Rabin Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University, 4937211 Petah Tikva, Israel.
Department of Orthopedics, Hasharon Hospital, Rabin Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University, 4937211 Petah Tikva, Israel ; Department of Surgery, Hasharon Hospital, Rabin Medical Center, Affiliated with the Sackler School of Medicine, Tel Aviv University, 4937211 Petah Tikva, Israel.
Case Rep Orthop. 2014;2014:234369. doi: 10.1155/2014/234369. Epub 2014 Oct 30.
The commonly used extensive approaches to the distal tibia include the posteromedial and anterolateral approaches. The current report describes several cases performed using this technique establishing a rationale and safe zone for performing a transfibular approach to the distal tibia. The advantages of such approach are the excellent visualization of the lateral tibia and the articular space. The utilization of this approach involves the risk of injury to the anterior tibial vessels and to the superficial peroneal nerve as well as a requirement for syndesmosis reconstruction. The recommendation is to utilize this approach in cases of severe comminution of the lateral tibia with a relatively intact medial tibia.
常用的胫骨远端广泛入路包括后内侧入路和前外侧入路。本报告描述了几例使用该技术的病例，为经腓骨入路至胫骨远端建立了理论依据和安全区域。这种入路的优点是能很好地显露胫骨外侧和关节间隙。使用这种入路存在损伤胫前血管和腓浅神经的风险，以及需要进行下胫腓联合重建。建议在胫骨外侧严重粉碎而内侧相对完整的病例中使用这种入路。
