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复杂腓骨头撕脱骨折:1例病例的手术治疗

Complex Fibular Head Avulsion Fracture: Surgical Management of a Case.

作者信息

Mattugini Vittorio, Citarelli Carmine, Cosseddu Fabio, Ghilard Marco, Luppichini Guido, Casella Francesco, Agostini Giulio, Sacchetti Federico, Capanna Rodolfo

机构信息

Department of Orthopedic and Traumatology, University of Pisa, Pisa, Italy.

出版信息

Surg Technol Int. 2018 Jun 1;32:257-260.

Abstract

Fibular head avulsion fractures are rare injuries determined by traction of the fibular attachment of the lateral collateral ligament (LCL). Surgical treatment is often recommended with different techniques such as tension band fixation or lag screws stabilization. In this article, we describe a fixation technique of fibular head fractures obtained through the use of anchors. A 45-year-old athletic patient came to our attention in our traumatologic service after a motorcycle accident. He reported a complex injury of the posterolateral corner with an avulsion fracture of the left fibular head. We performed a clinical evaluation at the final follow-up visit (six months). We demonstrated that the use of suture anchors may be an effective technique of fixation in avulsion fracture of the fibular head associated with combined posterolateral corner injuries.

摘要

腓骨头撕脱骨折是由外侧副韧带(LCL)的腓骨附着点受到牵拉所致的罕见损伤。通常建议采用不同技术进行手术治疗,如张力带固定或拉力螺钉固定。在本文中,我们描述了一种通过使用锚钉来固定腓骨头骨折的技术。一名45岁的运动员在摩托车事故后来到我们创伤科就诊。他报告左腓骨头撕脱骨折合并后外侧角复杂损伤。在最后一次随访(六个月)时我们进行了临床评估。我们证明,在伴有后外侧角联合损伤的腓骨头撕脱骨折中,使用缝合锚钉可能是一种有效的固定技术。

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