Laliotis Nikolaos Aggelos, Chrysanthos Chrysanthou, Panagiotis Konstantinidis, Ektor Kessidis
Department of Orthopaedic, Interbalkan Medical Center, Thessaloniki, Greece.
J Orthop Case Rep. 2019;9(4):63-66. doi: 10.13107/jocr.2019.v09.i04.1482.
Congenital distal tibiofibular diastasis is an extremely rare disorder. The main feature at presentation is a clubfoot deformity with leg length discrepancy (LLD) due to a short tibia. Limb lengthening and reconstruction techniques today can correct the deformity, ending with a plantigrade and functional limb.
We report a patient with congenital tibiofibular diastasis, who was initially treated with series of casts and later with ankle arthrodesis, but the deformity and LLDleg length discrepancy remained. We applied an Ilizarov frame and initially corrected the varus and equinus deformity of the foot. Then, we corrected the LLD leg length discrepancy with limb lengthening with distraction osteogenesis. We achieved a plantigrade stable limb, with a small amount of length inequality.
Congenital distal tibiofibular diastasis can be managed with staged correction and lengthening with the Ilizarov method.
先天性胫腓骨远端分离是一种极其罕见的疾病。其主要表现特征是由于胫骨短小导致的马蹄内翻足畸形及下肢长度不等（LLD）。如今，肢体延长和重建技术能够矫正这种畸形，最终获得一个能负重行走且功能正常的肢体。
我们报告了一名患有先天性胫腓骨分离的患者，该患者最初接受了一系列石膏固定治疗，后来又进行了踝关节融合术，但畸形和下肢长度不等（LLD）仍然存在。我们应用了伊利扎洛夫支架，首先矫正了足部的内翻和马蹄畸形。然后，通过牵张成骨进行肢体延长来矫正下肢长度不等（LLD）。我们获得了一个能负重行走的稳定肢体，仅有少量长度差异。
先天性胫腓骨远端分离可以通过伊利扎洛夫方法分阶段进行矫正和延长来治疗。
