距骨软骨病变:表现与治疗- 1例报告

IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL
Parishekh Jawahar, Menon P. Gopinath, Ashok T. R., S. Chokkalingam, Sashaank S. Srijay
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引用次数: 0

摘要

距骨软骨病变通常累及软骨和软骨下区域。大多数是继发于创伤。患者表现为疼痛,僵硬,肿胀。诊断通常由临床和放射学的相关性作出。治疗策略可采用保守或手术。本病例报告是一个24岁的男性,他表现为右脚踝疼痛,创伤后的慢性时期。患者确诊为OLT,行手术治疗(右内踝截骨+右距骨刮除+植骨+内踝重建)。本案例研究旨在了解OLT的各种治疗策略,包括手术和非手术,从而得出结论。骨软骨病变的治疗主要是通过高危患者(创伤)的早期筛查。虽然大多数情况下的结果是有利的,但治疗应该针对每个患者进行个体化,并对结果和并发症进行充分的咨询。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Osteochondral lesion of the talus: presentation and management - A case report
Osteochondral lesions of the talus (OLT) involve the chondral and subchondral region typically. Most are secondary to trauma. The patients present with pain, stiffness, swelling. Diagnosis is made typically by clinical and radiological correlation. Treatment strategies employed can be conservative or surgical. This case report is of a 24-year-old male, who presented with pain on the right ankle ,for a chronic period following trauma. The patient was diagnosed with OLT and underwent surgical treatment (Right medial malleolus osteotomy +curettage of right talus + bone grafting  + reconstruction of the medial malleolus). This case study is aimed at understanding the various treatment strategies for OLT, both surgical and non-surgical and thus arriving at a conclusion. Treatment of osteochondral lesions is mainly by early screening in high-risk patients (trauma). Although outcomes are favorable in most of the cases, treatment should be individualized to every patient with adequate counseling of outcomes and complications.
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来源期刊
BioMedicine-Taiwan
BioMedicine-Taiwan MEDICINE, GENERAL & INTERNAL-
CiteScore
2.80
自引率
5.90%
发文量
21
审稿时长
24 weeks
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