書誌事項
- タイトル別名
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- Congenital Diastasis of the Inferior Tibiofibular Joint with External Fixator: A Case Report.
抄録
We report a case of congenital diastasis of the inferior tibiofibular joint that was treated with ankle reduction using external fixator and postero-medial release. A six-month-old infant (male) was referred to us with the present complaint of left foot deformity. We found diastasis of the inferior tibiofibular joint and equinovarus foot on X-ray. We performed operation as follows. The left ankle and lower half of the tibia and fibula were exposed through an antero-lateral incision. We removed fibrous and cartilaginous tissue between the tibia and fibula, and tendon of tibialis posterior and anterior, and flexor digitorum longus were released through a postero-medial incision. The Achilles’ tendon was extended. We shortened the left tibia with an external fixator, and reduction of talo-crural joint. One week after operation, we started bone lengthening. Presently at age four, leg length discrepancy is two centimeters, but he has no equinovarus deformity of the left ankle and can walk with a shoe brace. Congenital diastasis of the tibiofibular joint is a lateral dysplasia of the tibia, diastasis of the tibiofibular joint, and medial torsion. Two groups are classified including medial distal ectromelia with vertical diastasis, and intermediate distal ectromelia with horizontal diastasis and medial torsion. This patient was classified as medial distal ectromelia.
収録刊行物
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- 整形外科と災害外科
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整形外科と災害外科 52 (2), 385-388, 2003
西日本整形・災害外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679916269312
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- NII論文ID
- 130004460223
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- ISSN
- 13494333
- 00371033
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可