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创伤性腓骨缺失采用游离带血管腓骨移植治疗:一例报告。

Traumatic Fibular Loss Managed with a Free Vascularized Fibular Graft: A Case Report.

机构信息

Department of Orthopedic Surgery, Warren Alpert Medical School of Brown University, Rhode Island Hospital, Providence, Rhode Island.

出版信息

JBJS Case Connect. 2022 Mar 9;12(1):01709767-202203000-00065. doi: e21.00792.

DOI:10.2106/JBJS.CC.21.00792
PMID:35263306
Abstract

CASE

A 25-year-old man involved in a jet skiing accident experienced a traumatic excision of his distal fibula in conjunction with other lower extremity injuries. He subsequently underwent a reconstruction of his lateral malleolus using an ipsilateral free vascularized fibular graft (FVFG) from his proximal fibular shaft, resulting in a preserved and stabilized ankle joint at 1 year.

CONCLUSION

Traumatic distal fibular excision is a rare injury that can be successfully managed using an FVFG, with fusion of the distal syndesmosis and a symmetric ankle mortise observed at the 1-year follow-up.

摘要

病例

一名 25 岁男子在滑水事故中遭受创伤性腓骨远端切除,同时伴有其他下肢损伤。随后,他使用同侧腓骨近端的游离血管化腓骨移植物(FVFG)重建外踝,1 年后踝关节得以保留并稳定。

结论

创伤性腓骨远端切除是一种罕见的损伤,可通过 FVFG 成功治疗,在 1 年随访时观察到远侧胫腓联合融合和对称的踝穴。

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