내과의 부분후방절골술을 통한 거골연골모세포종의 수술적 치료: 증례 보고

• Published in: 대한족부족관절학회지 Vol. 27; no. 2; pp. 75 - 78
• Main Authors: 유오준, 서진수, 김한성, 최준영, Oh Jun Yu, Jin Soo Suh, Han Sung Kim, Jun Young Choi
• Format: Journal Article
• Language: Korean
• Published: 대한족부족관절학회 01.06.2023
• Subjects: 정형외과학; Talus; Partial medial malleolar osteotomy; Bone tumor; Medial malleolar osteotomy; Chondroblastoma
• ISSN: 1738-3757; 2288-8551
• DOI: 10.14193/jkfas.2023.27.2.75

During bone tumor resection, many cases require medial malleolar osteotomy to achieve adequate access to the operative field. Various osteotomy methods have been developed to address this issue, including oblique, transverse, reverse V-shape, and step-cut osteotomies. However, medial malleolar osteotomy has several drawbacks, such as the excessive disruption of the joint surface, unstable screw fixation when fixing the medial malleolus, and iatrogenic medial ankle joint arthritis due to articular displacement during the reduction of the osteotomy site. In addition, there is a possibility of injury to the posterior tibial artery, tibial nerve, or posterior tibialis tendon if the osteotomy range is too aggressive. Therefore, the authors propose a new osteotomy method, which has shown promising clinical results, namely, partial posterior medial malleolar osteotomy. This method minimizes articular involvement and provides adequate access to the operative field during talar body bone tumor resection.