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首例第一跖骨创伤性损伤的罕见病例：病例报告

An unusual case of traumatic injury to the first metatarsal a case report.

作者信息

Xiao Tinghui, Qin Hanjun, Deng Peizhi, Lin Jiandong, He Siying, Zhang Xiaoming, Hu Xinjia

机构信息

Department of Traumatic Orthopedics, Shenzhen People's Hospital (The Second Clinical Medical College of Jinan University, The First Affiliated Hospital of Southern University of Science and Technology), Shenzhen, China.

Shenzhen Key Laboratory of Musculoskeletal Tissue Reconstruction and Function Restoration, Shenzhen, China.

出版信息

Heliyon. 2024 Apr 26;10(9):e30040. doi: 10.1016/j.heliyon.2024.e30040. eCollection 2024 May 15.

DOI:10.1016/j.heliyon.2024.e30040
PMID:38720761
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11076902/
Abstract

A 44-year-old male sustained trauma to his foot leading to a 5-cm defect of the first metatarsal bone and infection of the bone by . Osteotomy is the most suitable method for treating large metatarsal defects complicated with osteomyelitis, however few reports have been published on this challenging approach. In this case, osteotomy and external fixation for distraction were performed. Finally, the osteomyelitis of the patient was well controlled, the bone length was restored, and the patient could carry weight completely, and the treatment effect was satisfactory.

摘要

一名44岁男性足部受伤，导致第一跖骨出现5厘米的缺损，并伴有骨髓炎。截骨术是治疗合并骨髓炎的大型跖骨缺损最合适的方法，然而关于这种具有挑战性的方法的报道很少。在本病例中，实施了截骨术和用于牵张的外固定。最终，患者的骨髓炎得到良好控制，骨长度得以恢复，患者能够完全负重，治疗效果令人满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0df5/11076902/97f8e14edc18/mmcfigs1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0df5/11076902/714492ae2357/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0df5/11076902/e5a107c5717c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0df5/11076902/b6e7f0d920cc/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0df5/11076902/97f8e14edc18/mmcfigs1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0df5/11076902/714492ae2357/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0df5/11076902/e5a107c5717c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0df5/11076902/b6e7f0d920cc/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0df5/11076902/97f8e14edc18/mmcfigs1.jpg

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本文引用的文献

1
The First Metatarsophalangeal Joint: Updates on Revision Arthrodesis and Malunions.第一跖趾关节：翻修关节融合术和畸形愈合的最新进展。
Clin Podiatr Med Surg. 2023 Oct;40(4):569-580. doi: 10.1016/j.cpm.2023.05.002. Epub 2023 Jul 3.
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"In Situ" Joint Preparation Technique for First Metatarsophalangeal Arthrodesis: A Retrospective Comparative Review of 388 Cases.第一跖趾关节融合术的“原位”关节准备技术：388例回顾性比较研究
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Three-Dimensional Printing-Assisted Masquelet Technique in the Treatment of Calcaneal Defects.
三维打印辅助 Masquelet 技术治疗跟骨缺损。
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Effect of joint pathology, surface preparation and fixation methods on union frequency after first metatarsophalangeal joint arthrodesis: A systematic review of the English literature.关节病理、表面处理及固定方法对第一跖趾关节融合术后愈合频率的影响：英文文献的系统评价
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Biology of Bone Formation, Fracture Healing, and Distraction Osteogenesis.骨形成、骨折愈合与牵张成骨的生物学
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Bone transport for the management of severely comminuted fractures without bone loss.骨搬运用于治疗无骨缺损的严重粉碎性骨折。
Strategies Trauma Limb Reconstr. 2016 Apr;11(1):19-24. doi: 10.1007/s11751-016-0241-y. Epub 2016 Feb 1.
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Metatarsal reconstruction with a fibular osteocutaneous flap: a novel approach utilizing virtual surgical planning.腓骨骨皮瓣用于跖骨重建：一种利用虚拟手术规划的新方法。
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Step-by-step surgical technique for mandibular reconstruction with fibular free flap: application of digital technology in virtual surgical planning.腓骨游离皮瓣下颌骨重建的分步手术技术：数字技术在虚拟手术规划中的应用
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