腓骨近端切除术相关并发症的研究进展

Complications related to resection of the proximal fibula: a systematic review

腓骨近端切除术多被应用于四肢骨缺损的植骨重建手术治疗,腓骨参与构成膝关节及踝关节,为下肢部分韧带、肌肉及骨间膜的附着部位。腓骨近端切除术后可能会伴有膝关节不稳定、腓总神经损伤、踝关节不稳定、腓骨截骨远端骨质疏松、腓骨截骨远端再生及足趾肌力减弱等并发症的发生。术中重建附着于腓骨头的韧带及肌腱,规范手术操作,可避免相关并发症的发生。现对腓骨近端切除术相关并发症的研究现状作一综述,以期为并发症的预防提供参考。

The proximal fibula resection is used for bony reconstruction of extremities. The fibula isan integral part of the knee and ankle joints and serves as an attachment for lower extremity ligaments, interosseousmembrane and muscles. The proximal fibula resection may cause knee instability, peroneal nerve injury,ankle instability, osteoporosis of the distal fibular remnant, regeneration of the resected fibular shaft andmuscle weakness. Precise surgical techniques in proximal fibula resection and reconstruction of soft tissue attachmentsof the fibular head are critical to avoid those complications. This article aims to provide a solid understandingof the safety of proximal fibula resection by assessing articles about harvest or resection of theproximal fibula.