San Antonio Military Medical Center, Department of Orthopedic Surgery, 3551 Roger Brooke Drive, San Antonio, Texas.
Rady Children's Hospital San Diego, Division of Orthopaedic Surgery, San Diego, California and the University of California San Diego, Department of Orthopedics, San Diego, California.
JBJS Case Connect. 2024 Sep 6;14(3). doi: e24.00245. eCollection 2024 Jul 1.
A 15-year-old adolescent girl underwent revision surgery for a posteromedial osteochondral lesion of the talus (OLT). To provide anatomic reduction of her lesion, fluoroscopy and ankle arthroscopy facilitated a transmalleolar tunnel for screw fixation. Now, 8 years after surgery, the patient reports high patient satisfaction and pain-free functional use of her ankle.
A transmalleolar tunnel technique provides an alternative method to treat posteromedial OLT. This minimally invasive procedure allows patients to be spared potential complications from a medial malleolar osteotomy or a posteromedial incision. Most importantly, this case report demonstrates a positive long-term patient outcome.
一名 15 岁的青少年女孩因距骨后内侧骨软骨病变接受了翻修手术。为了实现病变的解剖复位，透视和踝关节镜辅助建立经外踝隧道以进行螺钉固定。现在，手术后 8 年，患者报告说她的踝关节功能使用无痛，且非常满意。
经外踝隧道技术为治疗后内侧 OLT 提供了一种替代方法。这种微创程序可以避免内侧踝骨切开术或后内侧入路带来的潜在并发症。最重要的是，本病例报告显示了积极的长期患者预后。
