Introduction: Proximal tibiofibular joint osteoarthritis is a rare disease most commonly occurring in the presence of either systemic inflammatory conditions or severe knee osteoarthritis. Case Presentation: The autho...Introduction: Proximal tibiofibular joint osteoarthritis is a rare disease most commonly occurring in the presence of either systemic inflammatory conditions or severe knee osteoarthritis. Case Presentation: The authors present a case report of isolated bilateral tibiofibular arthrosis in an otherwise healthy 28-year-old female patient. The patient presented with complaints of lateral knee pain. Radiographs and magnetic resonance imaging (MRI) revealed bilateral tibiofibular joint osteoarthritis. Trauma, repetitive use injury, and rheumatologic causes were excluded. The patient’s pain was initially managed conservatively, but she subsequently underwent tibiofibular arthrodesis for progressive pain symptoms. We review in this report the current literature on tibiofibular joint osteoarthritis and its treatment. Conclusion: Isolated tibiofibular joint osteoarthritis is a rare condition that may progress and requires surgical treatment to achieve optimal clinical outcomes.展开更多
目的比较皮质骨螺钉(cortical bone trajectory,CBT)固定与带袢钢板弹性固定在老年踝关节骨折(fracture of ankle joint,FAJ)下胫腓损伤患者中的应用效果。方法选取2022年8月—2023年7月菏泽骨伤医院收治的92例老年FAJ下胫腓损伤患者为...目的比较皮质骨螺钉(cortical bone trajectory,CBT)固定与带袢钢板弹性固定在老年踝关节骨折(fracture of ankle joint,FAJ)下胫腓损伤患者中的应用效果。方法选取2022年8月—2023年7月菏泽骨伤医院收治的92例老年FAJ下胫腓损伤患者为研究对象,根据不同治疗方法分为两组,各46例。对照组采用CBT固定治疗,研究组采用带袢钢板弹性固定治疗。比较两组术中与术后情况、美国足踝外科协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝与后足评分(Ankle Hindfoot Scale,AHS)、并发症发生情况。结果两组术中操作时间、术中失血量比较,差异无统计学意义(P均>0.05)。研究组部分与完全负重活动时间均短于对照组,差异有统计学意义(P均<0.05)。术后6个月时,研究组AOFAS-AHS评分为(90.02±2.65)分,高于对照组的(85.02±2.75)分,差异有统计学意义(t=8.880,P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论与CBT相比,带袢钢板弹性固定可以有效缩短老年FAJ下胫腓损伤患者的部分与完全负重活动时间,促进踝关节功能恢复。展开更多
文摘Introduction: Proximal tibiofibular joint osteoarthritis is a rare disease most commonly occurring in the presence of either systemic inflammatory conditions or severe knee osteoarthritis. Case Presentation: The authors present a case report of isolated bilateral tibiofibular arthrosis in an otherwise healthy 28-year-old female patient. The patient presented with complaints of lateral knee pain. Radiographs and magnetic resonance imaging (MRI) revealed bilateral tibiofibular joint osteoarthritis. Trauma, repetitive use injury, and rheumatologic causes were excluded. The patient’s pain was initially managed conservatively, but she subsequently underwent tibiofibular arthrodesis for progressive pain symptoms. We review in this report the current literature on tibiofibular joint osteoarthritis and its treatment. Conclusion: Isolated tibiofibular joint osteoarthritis is a rare condition that may progress and requires surgical treatment to achieve optimal clinical outcomes.
文摘目的比较皮质骨螺钉(cortical bone trajectory,CBT)固定与带袢钢板弹性固定在老年踝关节骨折(fracture of ankle joint,FAJ)下胫腓损伤患者中的应用效果。方法选取2022年8月—2023年7月菏泽骨伤医院收治的92例老年FAJ下胫腓损伤患者为研究对象,根据不同治疗方法分为两组,各46例。对照组采用CBT固定治疗,研究组采用带袢钢板弹性固定治疗。比较两组术中与术后情况、美国足踝外科协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝与后足评分(Ankle Hindfoot Scale,AHS)、并发症发生情况。结果两组术中操作时间、术中失血量比较,差异无统计学意义(P均>0.05)。研究组部分与完全负重活动时间均短于对照组,差异有统计学意义(P均<0.05)。术后6个月时,研究组AOFAS-AHS评分为(90.02±2.65)分,高于对照组的(85.02±2.75)分,差异有统计学意义(t=8.880,P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论与CBT相比,带袢钢板弹性固定可以有效缩短老年FAJ下胫腓损伤患者的部分与完全负重活动时间,促进踝关节功能恢复。
