외상 후 발생한 비골 단축증의 수술적 치료: 증례 보고

Pediatric ankle fractures can cause physeal injuries which can lead to the shortening of the fibula. This induces a lateral shift of the talus, valgus tilt, and instability of the ankle joint, which can result in an arthritic change in this joint. Patients with a shortening of the fibula may complai...

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Published in대한족부족관절학회지 Vol. 25; no. 4; pp. 177 - 180
Main Authors 김지연, 김갑래, 이채호, Kim, Jiyoun, Kim, Gab-Lae, Lee, Chae-Ho
Format Journal Article
LanguageKorean
Published 대한족부족관절학회 01.12.2021
Subjects
정형외과학
Ankle reconstruction
Fibular lengthening
Shortening of the fibula
Physeal closure
Z-osteotomy
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ISSN1738-3757
2288-8551
DOI10.14193/jkfas.2021.25.4.177

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Summary:Pediatric ankle fractures can cause physeal injuries which can lead to the shortening of the fibula. This induces a lateral shift of the talus, valgus tilt, and instability of the ankle joint, which can result in an arthritic change in this joint. Patients with a shortening of the fibula may complain of constant pain and restricted movements in their daily lives and during sports activities. Ankle reconstruction with fibula lengthening Z-osteotomy can provide excellent results if arthritis is absent or minimal, especially in young and active patients. To the best of the authors' knowledge, this is the first report in South Korea regarding the treatment of fibula shortening following a growth arrest due to injury.
Bibliography:KISTI1.1003/JNL.JAKO202105953687653
ISSN:1738-3757
2288-8551
DOI:10.14193/jkfas.2021.25.4.177