Interposition of posterior tibial tendon in tibiofibular syndesmosis in a bimalleolar ankle fracture: a case report.

IF 1.1 4区 医学 Q3 ORTHOPEDICS Acta orthopaedica et traumatologica turcica Pub Date : 2022-11-01 DOI:10.5152/j.aott.2022.22098
Heesoo Han, Ji Hye Choi, Kyoung Min Lee
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Abstract

Ankle fractures are relatively common orthopaedic injuries; however, irreducible ankle fractures with or without dislocations are a rare, unstable type of injury that require surgical treatment. The structures impeding the accurate reduction of ankle fractures may be soft tissues, such as the deltoid ligament, extensor retinaculum, tendons, or bony fragments between the fracture sites. A 47-year-old male patient with irreducible medial malleolus and distal fibula fracture was referred for treatment. Intraoperatively, it was discovered that failed reduction was due to the interposition of the posterior tibial tendon in the syndesmosis. The posterior tibial tendon was pushed posteriorly through the tibiofibular interosseous interval and relocated to its anatomical position. Reduction and fixation were only achieved after relocation of the tendon. In conclusion, when anatomical reduction is not easily achieved, interposition of the posterior tibial tendon in the syndesmosis should be considered.

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双踝踝关节骨折后胫腓联合胫骨后腱插入一例。
踝关节骨折是比较常见的骨科损伤;然而,伴有或不伴有脱位的不可还原性踝关节骨折是一种罕见的、不稳定的损伤,需要手术治疗。阻碍准确复位踝关节骨折的结构可能是软组织,如三角韧带、伸肌支持带、肌腱或骨折部位之间的骨碎片。一位47岁的男性患者因内踝和腓骨远端骨折无法复位而接受治疗。术中,我们发现复位失败是由于胫骨后肌腱在韧带联合中的插入。胫骨后腱通过胫腓骨间间隙向后推并重新定位到其解剖位置。只有在肌腱重新定位后才能实现复位和固定。综上所述,当解剖复位不容易实现时,应考虑胫骨后肌腱在韧带联合处的插入。
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
66
审稿时长
>12 weeks
期刊介绍: Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.
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