Autologous tendon graft for the repair of superior tibiofibular joint dislocation
10.3969/j.issn.2095-4344.2014.18.022
- VernacularTitle:自体肌腱移植修复上胫腓关节脱位
- Author:
Junfeng WANG
- Publication Type:Journal Article
- Keywords:
tibia;
fibula;
knee joint;
ankle joint;
transplants;
tissue transplantation
- From:
Chinese Journal of Tissue Engineering Research
2014;(18):2915-2920
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Superior tibiofibular joint dislocation is not common, and often combined with other injuries in the clinic, so it is easy to be neglected or missed. Thus, some side outcomes appeared, such as chronic knee joint pain, dysesthesia and limitation of motion.
OBJECTIVE:To reconstruct normal superior tibiofibular joint by using autologous tendon graft to bone tunnel.
METHODS:Three patients with superior tibiofibular joint dislocation, who were missed and treated with improper method, were enrol ed in Workers General Hospital, Xishan Coal Electricity Group since 2009. One was a male soldier aged 26 years old;one was a male miner aged 36 years old;one was a female athlete aged 36 years old. The clinical symptoms were different in these three patients, but their capitulum fibulae had the feeling of tenderness and flotation. Accessory examinations (X-ray/MRI) presented negative. Ipsilateral autologous semitendinosus muscles and gracilis tendon were used to repair superior tibiofibular joint dislocation in the three patients so as to reconstruct superior tibiofibular joint.
RESULTS AND CONCLUSION:The effects of postoperative functional exercise were satisfactory in three patients with superior tibiofibular joint dislocation. Lateral knee joint was swol en. Fibular head presented obvious tenderness and floating feeling. When ankle joint was moving, pain and limitation of motion completely disappeared. The sense of ankle and foot and the strength of muscle recovered to normal. These results indicated that to avoid missed diagnosis, physicians should check whether the capitulum fibulae was moving or not before autologous tendon graft was utilized to reconstruct superior tibiofibular joint dislocation.
