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一种使用半腱肌同种异体移植物重建分叉韧带治疗跟骰关节脱位的新方法:病例报告。

A Novel Technique in Treatment of Calcaneocuboid Dislocation with Bifurcate Ligament Reconstruction Using a Semitendinosus Allograft: A Case Report.

机构信息

Orthopedic Surgery Department, University of Alabama Birmingham, Birmingham, Alabama.

Orthopedic Surgery Department, Division of Foot and Ankle Surgery, University of Alabama Birmingham, Birmingham, Alabama.

出版信息

JBJS Case Connect. 2020 Jan-Mar;10(1):e0205. doi: 10.2106/JBJS.CC.19.00205.

Abstract

CASE

A 19-year-old woman sustained a plantar flexion-inversion injury to her right ankle after a low-speed motor vehicle collision. Clinical examination demonstrated supinated, adducted deformity of the foot, and prominent calcaneus laterally. Radiographs revealed dislocation of the calcaneocuboid joint, a rare injury, which was successfully stabilized by a novel technique using a hamstring allograft. The presentations and clinical and surgical management of this rare condition are discussed.

CONCLUSION

We present a technique that has shown good long-term results in a young patient with recurrent calcaneocuboid joint dislocations. Our novel ligament reconstruction technique using a semitendinosus allograft seems to be a promising treatment option in young patients with unstable calcaneocuboid joints.

摘要

病例

一名 19 岁女性在低速机动车碰撞后右脚踝发生跖屈-内翻损伤。临床检查显示足旋后、内收畸形,外踝突出。X 线片显示距跟舟关节脱位,这是一种罕见的损伤,采用一种新型跟腱同种异体移植物技术成功稳定。讨论了这种罕见情况的表现、临床和手术处理。

结论

我们提出了一种技术,在年轻的复发性距跟舟关节脱位患者中显示出良好的长期结果。我们使用半腱肌同种异体移植物的新型韧带重建技术似乎是不稳定距跟舟关节年轻患者的一种有前途的治疗选择。

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