Treatment of Open Traumatic Medial Malleolus Bone Loss With Osteochondral Allograft: A Case Report

被引:2
作者
Anderson, Thomas B. [1 ]
Bae, Andrew S. [1 ]
Kelly, Jazmone [2 ]
Antekeier, David P. [3 ]
机构
[1] Jack Hughston Mem Hosp, Orthopaed Surg Residency, Phenix City, AL 36867 USA
[2] Philadelphia Coll Osteopath Med, Osteopath Med, Moultrie, GA USA
[3] Hughston Clin, Orthopaed Surg, Columbus, GA USA
关键词
type iiia open medial malleolus fracture; bone loss; ankle arthritis; ankle trauma; medial malleolus; fresh osteochondral allograft; FRACTURES;
D O I
10.7759/cureus.31755
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Osteochondral damage to the ankle joint can be a difficult problem to manage in a young active patient. There are several described surgical treatments ranging from cartilage repair techniques to arthrodesis and ankle replacement. In this case, we present a 28-year-old male who sustained a right type IIIA open medial malleolus fracture following an all-terrain vehicle crash. After sharp debridement, the clinical decision was made to treat the patient with an osteochondral allograft. At one-and two-year post-allograft reconstruction, radiographs demonstrated good incorporation of the graft. The patient was ambulating with no pain or assistive devices. Our case report specifically describes the successful treatment of a traumatic medial malleolus ankle fracture with bone loss using an osteochondral allograft in a young active patient.
引用
收藏
页数:6
相关论文
共 11 条
[1]  
Carter TH, 2019, BONE JOINT J, V101B, P512, DOI [10.1302/0301-620X.101B5.BJJ-2019-0070, 10.1302/0301-620x.101B5.BJJ-2019-0070]
[2]   Fractures of the Ankle Joint Investigation and Treatment Options [J].
Goost, Hans ;
Wimmer, Matthias D. ;
Barg, Alexej ;
Kabir, Kouroush ;
Valderrabano, Victor ;
Burger, Christof .
DEUTSCHES ARZTEBLATT INTERNATIONAL, 2014, 111 (21) :377-388
[3]   Reconstruction of traumatic medial malleolus loss using the bone sliding technique: A case report [J].
Huang, Danlei ;
Wang, Jun ;
Ye, Zhiyang ;
Liu, Haoyuan ;
Huang, Jianming .
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, 2022, 90
[4]  
Kow Ren Yi, 2019, JBJS Case Connect, V9, pe0163, DOI 10.2106/JBJS.CC.18.00163
[5]  
Lughi Marcello, 2019, Joints, V7, P228, DOI 10.1055/s-0041-1730380
[6]  
Nithyananth Manasseh, 2010, Foot Ankle Surg, V16, pe37, DOI 10.1016/j.fas.2009.07.004
[7]  
Sanders R, 1992, J Orthop Trauma, V6, P201, DOI 10.1097/00005131-199206000-00012
[8]   Ankle Fracture Epidemiology in the United States: Patient-Related Trends and Mechanisms of Injury [J].
Scheer, Ryan C. ;
Newman, Jared M. ;
Zhou, Jack J. ;
Oommen, Alvin J. ;
Naziri, Qais ;
Shah, Neil, V ;
Pascal, Scott C. ;
Penny, Gregory S. ;
McKean, Jason M. ;
Tsai, Justin ;
Uribe, Jaime A. .
JOURNAL OF FOOT & ANKLE SURGERY, 2020, 59 (03) :479-483
[9]  
Schoenfeld Andrew J, 2007, J Foot Ankle Surg, V46, P144, DOI 10.1053/j.jfas.2006.10.004
[10]   Antiglide plating of vertical medial malleolus fractures provides stiffer initial fixation than bicortical or unicortical screw fixation [J].
Wegner, Adam M. ;
Wolinsky, Philip R. ;
Robbins, Michael A. ;
Garcia, Tanya C. ;
Maitra, Sukanta ;
Amanatullah, Derek F. .
CLINICAL BIOMECHANICS, 2016, 31 :29-32