肋软骨骨软骨移植治疗多指术后软骨缺损
Costal osteochondral graft for a postoperative cartilage defect in a patient with polydactyly.
机构信息
Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan
Department of Pediatric Orthopaedics, Osaka City General Hospital, Osaka, Japan.
出版信息
BMJ Case Rep. 2021 Jan 28;14(1):e237823. doi: 10.1136/bcr-2020-237823.
We present a case of a postoperative cartilage defect in a patient with polydactyly who was treated with a costal osteochondral graft. Excision of the radial digit and ligamentous periosteal flap with longitudinal osteotomy were performed when the patient was 1 year old. The alignment of the interphalangeal joint was straight after surgery, but the deviation gradually developed. A revision surgery using a costal osteochondral graft was performed when the patient was 3 years old. A satisfactory outcome was obtained at the 3-year follow-up. The authors suggest that a costal osteochondral graft may be a reasonable option for revision surgery for a postoperative cartilage defect.
我们报告了 1 例多指术后软骨缺损患者的病例，该患者接受了肋软骨骨软骨移植治疗。当患者 1 岁时，进行了桡侧指切除和韧带骨膜瓣的纵向骨切开术。术后指间关节对线笔直，但逐渐出现偏斜。当患者 3 岁时，进行了使用肋软骨骨软骨移植的翻修手术。3 年随访时获得了满意的结果。作者认为，肋软骨骨软骨移植可能是术后软骨缺损翻修手术的合理选择。
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