Department of Orthopedics and Traumatology, İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir-Türkiye.
Ulus Travma Acil Cerrahi Derg. 2022 Sep;28(9):1359-1362. doi: 10.14744/tjtes.2020.67179.
Treatment of ankle deformities caused by the physeal bar after a fracture sequel is complicated. Each patient should be treated individually depending on of the severity of the deformity and bar location. We presented a case report of a successful treatment of an 11-year-old male patient with progressive varus deformity and bar formation due to trauma in the distal tibial physis. Tibia distal open wedge osteotomy, fibula closed wedge osteotomy, bar resection, and autogenic adipose tissue interposition were performed. The patient is at 4 year follow-up without any complication. We think that bar resection technique provides favorable results even in severe ankle deformity.
治疗骨折后骺板条引起的踝关节畸形较为复杂。应根据畸形的严重程度和条带的位置对每个患者进行个体化治疗。我们报告了一例 11 岁男性患者的成功治疗病例，该患者因胫骨远端骺板外伤导致进行性内翻畸形和条带形成。行胫骨远端开放楔形截骨术、腓骨闭合楔形截骨术、条带切除术和自体脂肪组织间置术。患者在 4 年随访中无任何并发症。我们认为条带切除术技术即使在严重的踝关节畸形中也能提供良好的结果。
