Abstract:
:Dislocation of the tibiofibular joint is rare and usually results from a traumatic event. Only 1 case of atraumatic proximal tibiofibular joint instability in a 14-year-old girl has been reported in the literature, however this condition might occur more frequently than once thought. A wide range of treatment options exist for tibiofibular dislocations. Currently, the first choice is a conservative approach, and when this fails, surgical means such as resection of the fibula head, arthrodesis, and reconstruction are considered. However, no consensus exists on the most effective treatment. This article reports a unique case of bilateral, atraumatic, proximal tibia and fibular joint instability involving a 30-year-old man with a 20-year history of pain and laxity in the right knee. The patient had no trauma to his knees; he reported 2 immediate family members with similar complaints, which suggests that this case is likely congenital. After conservative approaches proved to be ineffective, the patient underwent capsular reconstruction using free autologous gracilis tendon. At 6-month postoperative follow-up, the patient was pain free with no locking and instability. He then underwent surgery on the left knee. At 1-year follow-up after the second surgery, the patient had no symptoms or restrictions in mobility. We provide an alternative surgical approach to arthrodesis and resection for the treatment of chronic proximal tibiofibular instability. In the treatment of chronic tibiofibular instability, we believe that reconstruction of the tibiofibular joint is a safe and effective choice.
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Morrison TD,Shaer JA,Little JEdoi
10.3928/01477447-20101221-28subject
Has Abstractpub_date
2011-01-01 00:00:00pages
133issue
2eissn
0147-7447issn
1938-2367journal_volume
34pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract::Multimodal pain management has become an important part of the perioperative care of patients undergoing total joint replacement. The principle of multimodal therapy is to use interventions that target several different steps of the pain pathway, allowing more effective pain control with fewer side effects. Many diffe...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20130122-51
更新日期:2013-02-01 00:00:00
abstract::Major trauma following a mishap with a golf cart is an unreported problem. This study details injury types and the various mechanisms by which the accidents occurred. Recommendations are made regarding preventive measures that should be observed for safe operation of a golf cart. Two hundred eighty orthopedic surgeons...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1996-06-01 00:00:00
abstract::Advancements in total ankle arthroplasty (TAA) over the past several decades have led to improved patient outcomes and implant survivorship. Despite these innovations, many implant manufacturers still consider a preoperative coronal plane deformity greater than 10° a relative contraindication to TAA. Without proper in...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150402-91
更新日期:2015-04-01 00:00:00
abstract::A technique for recording the myoelectric activity of electrically stimulated muscle through its motor nerve without the interference of stimuli artifacts has been developed and tested. The technique consists of a wide band differential amplifier with fine intramuscular wire electrodes. The amplified signal is passed ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1985-04-01 00:00:00
abstract::Enzymatic activities, which originate in the muscle envelope of tibiae with an experimental segmental bone loss, provide additional evidence for the intimate bone-muscle interrelationships in new bone formation. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20070401-06
更新日期:2007-04-01 00:00:00
abstract::Our paper presents three new cases of chondrosarcoma of the foot and a clinical analysis of all the known cases of similar tumors. We feel that surgery is still the treatment of choice and recurrence and metastases are uncommon following adequate surgical treatments. ...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19780901-05
更新日期:1978-09-01 00:00:00
abstract::Aging boomers and younger patients requiring total knee arthroplasty demand and/or expect better function, improved durability, and a quicker recovery. In response to this demand, surgeons are modifying surgical techniques, and industry is examining implant design. One proposal is the gender-specific implant, but the ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2006-09-01 00:00:00
abstract::This prospective study investigated revision after modular short stem implantation. Results are presented for 2 different types of neck adapters (titanium and cobalt-chromium [CoCr]). Eighty-five patients with titanium adapters and 87 patients with CoCr adapters underwent follow-up examination after an average of 5.7 ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150215-54
更新日期:2015-03-01 00:00:00
abstract::Clinical examination of the knee to determine the presence of ACL injury presents a challenge to many clinicians. The prone Lachman test offers many advantages in enhancing patient relaxation, improving psychomotor proficiency, and improving the clinician's interpretation of the results. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20110505-07
更新日期:2008-07-01 00:00:00
abstract::In 6 patients with stage II knee osteonecrosis, all 6 with thrombophilia and 4 with concurrent hypofibrinolysis, the authors prospectively determined whether anticoagulation with enoxaparin could prevent collapse and progression to osteoarthritis, ameliorate pain, and restore function. The 6 patients were treated with...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20140924-59
更新日期:2014-10-01 00:00:00
abstract::Pain relief following total knee arthroplasty (TKA) is challenging because early mobilization and rehabilitation are essential for a successful outcome. Postoperative pain can limit recovery, leading to reduced mobility and prolonged hospitalization. There are potential benefits of infiltrating high volumes of local a...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:10.3928/01477447-20140528-07
更新日期:2014-06-01 00:00:00
abstract::Necrotizing fasciitis is an aggressive, invasive soft tissue infection. Because it can rapidly progress to patient instability, prompt diagnosis followed by urgent debridement is critical to decreasing mortality. Despite the importance of early diagnosis, necrotizing fasciitis remains a clinical diagnosis, with little...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130426-34
更新日期:2013-05-01 00:00:00
abstract::Treatment of posterolateral tibial plateau fractures is controversial, and information regarding this specific fracture pattern is lacking. The purpose of this study was to elucidate the frequency and morphological features of posterolateral articular fragments in tibial plateau fractures. A retrospective radiographic...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130920-16
更新日期:2013-10-01 00:00:00
abstract::Outcomes after lumbar disk herniation in baseball athletes are currently unknown. It has been postulated that the repetitive torque-producing motions of a baseball player may have negative implications after a disk injury. Sixty-nine lumbar disk herniations (40 treated operatively, 29 nonoperatively) in 64 professiona...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20111122-40
更新日期:2012-01-01 00:00:00
abstract::This study demonstrates magnetic resonance findings in 16 patients (25 heels) with heel pain. Sixteen of 25 (64%) studies demonstrated abnormalities which could be related to the etiology of their heel pain. Eleven of 16 abnormal scans demonstrated thickening of the plantar aponeurosis with associated fibrosis (7 of 1...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
abstract::Sacrectomy is intended to resect aggressive local and life-threatening disease. Reconstruction can be difficult. This article reports on the use of sacrectomy for tumor and tumor-like conditions. Procedures included 9 partial, 7 subtotal, 7 hemi-, and 4 total sacrectomies. Of 22 patients with primary malignant disease...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2005-03-01 00:00:00
abstract::This study attempted to determine whether patients undergoing cemented long-stem proximal femoral replacement had: (1) an increased short-term mortality rate; (2) greater intraoperative hemodynamic instability; (3) a greater need for resuscitation; and (4) a decreased risk of periprosthetic fracture. The current study...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160404-04
更新日期:2016-05-01 00:00:00
abstract::With the advent of newer prosthetic designs, total wrist arthroplasty provides a functional range of motion, better wrist balance, reduced risk of loosening, and better implant stability. ...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:2004-03-01 00:00:00
abstract::Sterile elastic exsanguination tourniquets (HemaClear; OHK Medical Devices, Haifa, Israel) are relatively new on the market but are widely used because of the ease and speed of their application. The sterile elastic exsanguination tourniquet consists of a silicon ring wrapped in a stockinet sleeve with pull straps. Th...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20151123-08
更新日期:2015-12-01 00:00:00
abstract::Osteoarticular infections (OAIs) in the setting of infective endocarditis (IE) are uncommon. Although morbidity and mortality have been widely studied, details of the characteristics of patients with concurrent IE and OAI are limited. Therefore, the purpose of this study was to determine the (1) incidence, (2) mortali...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20191031-02
更新日期:2020-01-01 00:00:00
abstract::Electromyographic biofeedback is a therapeutic modality used along with other interventions in the treatment of pain. This article presents a brief review of the effectiveness of electromyographic biofeedback in treating musculoskeletal pain. Electromyographic biofeedback may provide pain relief for chronic musculoske...
journal_title:Orthopedics
pub_type: 杂志文章,meta分析
doi:
更新日期:2008-10-01 00:00:00
abstract::Eleven patients with symptomatic talus osteochondral defects who underwent subchondroplasty with bone marrow aspirate concentrate injection were retrospectively reviewed. Foot and Ankle Outcome Score and visual analog scale pain score were recorded preoperatively and at the 1-year postoperative visit. The mean osteoch...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20180724-06
更新日期:2018-09-01 00:00:00
abstract::This article describes a case of a 23-year-old man who sustained a far medial fracture dislocation of the medial clavicle. We performed an open reduction and internal fixation of the fragment back to the remaining medial fragment using a small locking plate. This fracture can be problematic and usually requires reduct...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090501-08
更新日期:2009-05-01 00:00:00
abstract::This study sought to postoperatively compare femoral cortical button (FCB) placement in anterior cruciate ligament (ACL) reconstruction performed using an adjustable loop cortical femoral fixation button under direct arthroscopic visualization vs indirect methods. The authors conducted a retrospective review of postop...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20200129-03
更新日期:2020-05-01 00:00:00
abstract::Lumbosacral pain is common in the general population and among athletes. Many athletes are diagnosed with low back strain and treated with nonsteroidal anti-inflammatories, rest, and muscle relaxers. However, the differential for low back pain in athletes is broad and includes many potential etiologies such as: lumbar...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20100924-23
更新日期:2010-11-02 00:00:00
abstract::A new frame has been designed to maintain patients in what the author chooses to call the prone sitting position during back surgery. Studies have shown such a position to be far superior to other positions in minimizing blood loss during surgical procedures on the back. The new frame has the advantages of accommodati...
journal_title:Orthopedics
pub_type: 社论
doi:10.3928/0147-7447-19790301-05
更新日期:1979-03-01 00:00:00
abstract::Total hip arthroplasty (THA) can be performed through multiple surgical approaches, including anterior, anterolateral, lateral, transtrochanteric, posterolateral, posterior, and the 2-incision technique. The overwhelming majority of THAs today are performed through a posterolateral approach, which has many advantages:...
journal_title:Orthopedics
pub_type: 评论,杂志文章
doi:10.3928/01477447-20110714-29
更新日期:2011-09-09 00:00:00
abstract::Many techniques have been employed to facilitate intramedullary nailing of femur fractures. Maintaining limb length during the operation can be difficult. The authors describe the use of distal femoral fine wire skeletal traction as a technique to maintain reduction while allowing intramedullary nailing of femur fract...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20160201-07
更新日期:2016-03-01 00:00:00
abstract::Femoral head fractures often result in damage to the articular cartilage. This article describes a patient who sustained a femoral head fracture-dislocation with significant damage to the articular cartilage of the weight-bearing portion of his femoral head (A). After anatomic reduction of the fracture, a 2×4-cm osteo...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20121217-27
更新日期:2013-01-01 00:00:00
abstract::A single stage procedure for correction of congenital vertical talus using a medial approach is described. The operation was performed on 14 feet with good initial anatomical results in all cases. No wound healing complications were observed. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00