Lady Davis Carmel Medical Center, Mikhal Street 7, 3436212, Haifa, Israel.
Georgetown University Medical Center, 4431 Albemarle Street NW, Washington, DC, 20016, USA.
J Med Case Rep. 2020 Jul 5;14(1):104. doi: 10.1186/s13256-020-02397-7.
A singular procedure involving both a distal tibiofibular synostosis resection with syndesmosis repair by peroneus longus ligamentoplasty has not been reported in the English literature. We report a case of simultaneous distal tibiofibular synostosis resection and syndesmosis stabilization by peroneus longus ligamentoplasty for the treatment of symptomatic distal tibiofibular synostosis formation, following neglected syndesmosis injury.
A 42-year-old Caucasian man presented with ankle pain and painful range of motion 20 months following ankle trauma. Distal tibiofibular synostosis was identified, and our patient was successfully treated by simultaneous synostosis takedown and peroneus longus ligamentoplasty for distal tibiofibular syndesmosis repair.
Our experience illustrates that in cases of painful posttraumatic distal tibiofibular synostosis, simultaneous synostosis resection with peroneus longus ligamentoplasty may show good clinical results.
在英文文献中，尚未报道涉及腓骨长肌腱成形术修复下胫腓联合的单一手术，该手术包括腓骨远侧胫腓骨联合切除术。我们报告了一例腓骨长肌腱成形术同时治疗腓骨远侧胫腓骨联合融合症和下胫腓联合固定术的病例，该患者因下胫腓联合损伤未得到治疗而出现症状性腓骨远侧胫腓骨联合融合症。
一名 42 岁的白人男性，在踝关节创伤后 20 个月出现踝关节疼痛和活动受限。发现存在腓骨远侧胫腓骨融合症，我们的患者通过同时进行融合切除和腓骨长肌腱成形术治疗下胫腓联合修复，成功得到治疗。
我们的经验表明，在创伤后出现疼痛性腓骨远侧胫腓骨融合症的情况下，同时进行融合切除术和腓骨长肌腱成形术可能会取得良好的临床效果。
5 级。
