腓骨延长截骨术治疗创伤后骨不连。适应症、技术及结果。
Lengthening osteotomy of the fibula for post-traumatic malunion. Indications, technique and results.
作者信息
Weber D, Friederich N F, Müller W
机构信息
Department of Orthopaedic Surgery and Traumatology, University of Geneva, HCUG, Switzerland.
出版信息
Int Orthop. 1998;22(3):149-52. doi: 10.1007/s002640050229.
Relative shortening of the fibula may occur after any type of ankle fracture when the lateral malleolus is involved. Patients complain of pain and restriction of their daily and sporting activities. Clinically, there is valgus of the hind foot due to abduction and lateral rotation of the talus. The goal of treatment is to restore the initial length of the fibula by a horizontal or Z-osteotomy, which will also correct the malposition of the talus. This study shows that the operative reconstruction of a widened mortise is a relatively safe procedure, independent of the type of osteotomy used. Lengthening of the fibula is an important step in the treatment of the painful ankle when the fibula is short after trauma, even when degenerative changes of the joint are already present.
当外踝受累时，任何类型的踝关节骨折后都可能发生腓骨相对缩短。患者抱怨疼痛以及日常和体育活动受限。临床上，由于距骨外展和外旋，后足出现外翻。治疗的目标是通过水平或Z形截骨术恢复腓骨的初始长度，这也将纠正距骨的错位。本研究表明，扩大关节窝的手术重建是一种相对安全的手术，与所采用的截骨术类型无关。当腓骨在创伤后变短，即使关节已经出现退行性改变时，腓骨延长也是治疗疼痛性踝关节的重要步骤。
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