Treatment of Recalcitrant Isolated Congenital Fibular Pseudarthrosis: Fibular Segment Transfer and Tibiofibular Synostosis with Unilateral External Fixator.

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Damla Fidan Yamanel, Bedri Karaismailoglu, Turgut Nedim Karaismailoglu
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引用次数: 0

Abstract

Isolated congenital pseudarthrosis of the fibula is a rare entity with a limited number of cases reported in the literature. Treatment is challenging because of recalcitrant nonunion and because no consensus about the best treatment plan exists. We report a case of isolated congenital fibular pseudarthrosis with valgus deformity of the ankle. The patient had a history of two failed operations. We used a novel surgical plan that combined tibiofibular synostosis with fibular segment transfer through a unilateral external fixator. The patient showed good early results with fibular union. We advocate the combination of tibiofibular synostosis and fibular segment transfer to restore the integrity and stability of the ankle in recalcitrant isolated congenital fibular pseudarthrosis cases with a history of failed surgery.

治疗顽固的孤立性先天性腓骨假关节:腓骨节段转移和胫腓骨合体与单侧外固定器。
孤立性先天性腓骨假关节是一种罕见病,文献报道的病例数量有限。由于腓骨假关节顽固不愈合,且最佳治疗方案尚未达成共识,因此治疗难度很大。我们报告了一例孤立性先天性腓骨假关节伴踝关节外翻畸形的病例。患者有两次手术失败的病史。我们采用了一种新颖的手术方案,通过单侧外固定器将胫腓骨合拢与腓骨节段转移相结合。患者早期腓骨结合效果良好。对于手术失败的顽固孤立性先天性腓骨假关节病例,我们主张联合使用胫腓骨合骨术和腓骨节段转移术来恢复踝关节的完整性和稳定性。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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