创伤后胫腓骨远端关节闭锁的外科治疗：技术说明。

IF 0.9 4区医学 Q4 ORTHOPEDICS

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-05-01 Epub Date: 2025-03-25 DOI:10.1097/BPB.0000000000001218

Saral Patel, Ria S Parikh, Shital N Parikh

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引用次数: 0

摘要

摘要创伤后胫腓骨远端关节滑脱（DTFS）是小儿胫腓骨远端骨折治疗后罕见的并发症。因此，关于DTFS的管理文献很少。DTFS可导致踝关节疼痛、踝关节外翻、腓骨缩短，并可改变踝关节的生物力学功能。两个儿童病例DTFS提出，突出并发症后粉碎性踝关节骨折。两例患者均行手术切除关节缝，并在胫骨和腓骨之间置入橡胶片和脂肪移植物。随访1年，患者症状完全缓解，无结膜紧闭复发。

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Surgical management of post-traumatic distal tibiofibular synostosis: a technical note.

Post-traumatic distal tibiofibular synostosis (DTFS) is a rare complication following distal tibiofibular fracture treatment in pediatric patients. Hence, there is a paucity of literature on the management of DTFS. DTFS can lead to ankle pain, ankle valgus, fibular shortening, and can alter the biomechanical function of the ankle joint. Two pediatric cases of DTFS are presented, highlighting the complication after a comminuted ankle fracture. Both underwent surgical excision of synostosis and interposition of a silastic sheet and fat graft between the tibia and fibula. At 1-year follow-up, there was complete resolution of symptoms and no recurrence of synostosis.

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来源期刊

Journal of Pediatric Orthopaedics-Part B 医学-小儿科

CiteScore

2.20

自引率

9.10%

发文量

170

审稿时长

4-8 weeks

期刊介绍： The journal highlights important recent developments from the world''s leading clinical and research institutions. The journal publishes peer-reviewed papers on the diagnosis and treatment of pediatric orthopedic disorders. It is the official journal of IFPOS (International Federation of Paediatric Orthopaedic Societies). Submitted articles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool.