使用 3-D 打印钛多孔块和后足钉重建不稳定踝关节夏科畸形--病例报告

Q2 Health Professions

Foot Pub Date : 2024-07-05 DOI:10.1016/j.foot.2024.102116

Venu Kavarthapu , Anil Haldar

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引用次数: 0

摘要

踝关节的夏科神经性关节病（CN）可导致距骨的明显骨吸收，造成严重的畸形和不稳定性。在此类病例中，使用 3-D 打印的定制钛多孔块可以使用髓内小方胫骨钉，这是一种很有吸引力的选择，有报道称这种髓内小方胫骨钉可用于创伤后畸形、肿瘤切除后、距骨无血管性坏死以及失败的全踝关节置换术的翻修，但以前还没有用于夏科氏踝关节重建的报道。我们展示了一个新颖的病例和手术技术，说明如何使用 3-D 打印钛多孔块和后足钉重建畸形和不稳定的 Charcot 后足。

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Reconstruction of unstable ankle charcot deformity using a 3-D printed titanium porous block and hindfoot nail – A case report

Charcot neuroarthropathy (CN) of the ankle joint can cause marked bone resorption of the talus resulting in severe deformity and instability. The utilisation of a 3-D printed bespoke titanium porous block that allows the use of an intramedullary calcaneo-tibial nail is an attractive option in such cases that has been reported for use in post-trauma deformities, following tumour resections, in avascular necrosis of talus and for revision of failed total ankle replacements, however has not previously been reported for Charcot ankle reconstructions. We present a novel case and surgical technique illustrating the use of a 3-D printed titanium porous block and hindfoot nail for reconstruction of a deformed and unstable Charcot hindfoot.

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来源期刊

Foot Health Professions-Podiatry

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： The Foot is an international peer-reviewed journal covering all aspects of scientific approaches and medical and surgical treatment of the foot. The Foot aims to provide a multidisciplinary platform for all specialties involved in treating disorders of the foot. At present it is the only journal which provides this inter-disciplinary opportunity. Primary research papers cover a wide range of disorders of the foot and their treatment, including diabetes, vascular disease, neurological, dermatological and infectious conditions, sports injuries, biomechanics, bioengineering, orthoses and prostheses.