PDF(Pubmed)
Abstract：
Osteochondromas arising from the interosseous border of the distal tibia are rare, but cases have been reported previously in the literature. In long-standing cases, they can cause a \"mass effect\" resulting in the deformation of the bones around the ankle joint, mechanical restriction of joint movement, and even degenerative joint disease. Hence, they need to be resected if patients present with such impending complications. Several surgical techniques have been described previously for tumor resection including the anterior approach and the trans-fibular approach, the latter of which required a fibular osteotomy with or without fibular reconstruction. The surgical technique described here utilizes the posterolateral approach to the ankle joint for tumor excision, thus avoiding the need for any osteotomy or fibular reconstruction and reducing the risk of injury to major neurovascular structures. It also reduces the need for long-term immobilization and promotes a faster return to activity.
摘要：
由胫骨远端骨间边界引起的骨软骨瘤很少见，但以前文献中已经报道过病例。在长期存在的情况下，它们会引起“质量效应”，导致踝关节周围的骨骼变形，关节运动的机械限制，甚至是退行性关节病。因此，如果患者出现这种即将发生的并发症，则需要切除它们。先前已经描述了几种用于肿瘤切除的手术技术，包括前路和腓骨入路，后者需要腓骨截骨术，有或没有腓骨重建。这里描述的手术技术利用踝关节后外侧入路进行肿瘤切除，从而避免了任何截骨或腓骨重建的需要，并降低了损伤主要神经血管结构的风险。它还减少了对长期固定的需求，并促进了更快的恢复活动。
