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使用同种异体股骨头重建双侧后足开放性骨折：一例三年随访病例报告

Reconstruction of Bilateral Hindfoot Open Fracture Using the Femoral Head Allograft: A Three-Year Follow-Up Case Report.

作者信息

Alhoukail Amro, Althuwaykh Salem, Alqahtani Noura, Alotaibi Abdullah

机构信息

Orthopedic Surgery Department, King Fahad Medical City, Riyadh, SAU.

出版信息

Cureus. 2024 Nov 19;16(11):e73964. doi: 10.7759/cureus.73964. eCollection 2024 Nov.

DOI:10.7759/cureus.73964
PMID:39703289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11656119/
Abstract

This case report presents a three-year follow-up of a young male with bilateral hindfoot fractures due to a high-energy road traffic accident, resulting in a comminuted open calcaneal fracture on the left and an open fracture-dislocation of the right talus. Staged reconstruction was performed, including initial debridement, temporary cement spacers, and subsequent fixation with femoral head allografts (FHAs). The right foot underwent a tibiotalocalcaneal (TTC) fusion, and the left foot received a double arthrodesis. Follow-up imaging confirmed allograft integration and complete fusion. At three years, the patient had a stable, plantigrade foot and satisfactory function for daily activities. This case demonstrates the successful use of FHAs for complex hindfoot reconstructions, preserving limb length and functionality.

摘要

本病例报告展示了一名年轻男性因高能道路交通事故导致双侧后足骨折的三年随访情况，该事故造成左侧跟骨粉碎性开放性骨折以及右侧距骨开放性骨折脱位。进行了分期重建，包括初期清创、临时骨水泥间隔物以及随后使用股骨头异体骨（FHA）进行固定。右脚接受了胫距跟（TTC）融合术，左脚进行了双关节融合术。随访影像学检查证实异体骨融合及完全愈合。三年时，患者足部稳定、能平足行走，日常活动功能良好。本病例证明了FHA在复杂后足重建中的成功应用，保留了肢体长度和功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229d/11656119/4f772bfb4ed9/cureus-0016-00000073964-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229d/11656119/95dedc2fdec3/cureus-0016-00000073964-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229d/11656119/dee91cbfc23f/cureus-0016-00000073964-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229d/11656119/defaf37342ac/cureus-0016-00000073964-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229d/11656119/4e3a79479b9e/cureus-0016-00000073964-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229d/11656119/fa9d4a867a78/cureus-0016-00000073964-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229d/11656119/8ee61f5b2a13/cureus-0016-00000073964-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229d/11656119/4f772bfb4ed9/cureus-0016-00000073964-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229d/11656119/95dedc2fdec3/cureus-0016-00000073964-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229d/11656119/dee91cbfc23f/cureus-0016-00000073964-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229d/11656119/defaf37342ac/cureus-0016-00000073964-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229d/11656119/4e3a79479b9e/cureus-0016-00000073964-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229d/11656119/fa9d4a867a78/cureus-0016-00000073964-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229d/11656119/8ee61f5b2a13/cureus-0016-00000073964-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/229d/11656119/4f772bfb4ed9/cureus-0016-00000073964-i07.jpg

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Foot Ankle Orthop. 2023 Aug 11;8(3):24730114231195364. doi: 10.1177/24730114231195364. eCollection 2023 Jul.
2
Tibiotalocalcaneal Arthrodesis with Structural Allograft for Management of Large Osseous Defects of the Hindfoot and Ankle: A Systematic Review and Meta-Analysis.异体结构性植骨的跗骨与跟骨关节融合术治疗后足和踝关节大骨缺损：系统评价和荟萃分析。
J Foot Ankle Surg. 2022 Jul-Aug;61(4):900-906. doi: 10.1053/j.jfas.2022.01.003. Epub 2022 Jan 16.
3
Treatment of Severe Ankle and Hindfoot Deformity: Technique Using Femoral Head Allograft for Tibiotalocalcaneal Fusion Using a Cup-and-Cone Reamer.重度踝关节和后足畸形的治疗：使用杯锥扩孔钻及股骨头同种异体骨进行胫距跟融合术的技术
Arthrosc Tech. 2021 Apr 6;10(5):e1187-e1195. doi: 10.1016/j.eats.2021.01.012. eCollection 2021 May.
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