在骨科创伤实践中,小儿胫骨和腓骨远端骨折很常见。大多数患者通过闭合复位或铸造进行保守治疗,而只有少数患者需要手术治疗。手术选择包括电镀,经皮克氏针,刚性髓内钉,和灵活的髓内钉。这取决于病人的年龄,骨折部位,粉碎,和伴随的伤害。这里,我们介绍了一个有趣的病例,该患者在骨折部位出现了异常病变。在手术过程中,该病变被刮除,并用可注射的合成Cerament骨空隙填充剂填充(骨支撑AB,隆德,瑞典),后来形成骨骼并允许骨骼重塑。
Paediatric distal tibial and fibular fractures are seen quite regularly in orthopaedic trauma practice. Most patients are managed conservatively with closed reduction or casting while only a selected few required surgical treatment. Surgical options include plating, percutaneous Kirschner wires, rigid intramedullary nails, and flexible intramedullary nailing. This is dependent upon the patient\'s age, fracture site, comminution, and concomitant injuries. Here, we present an interesting
case of a patient with an unusual lesion seen at the fracture site. This lesion was curetted out during surgery and filled with an injectable synthetic Cerament bone void filler (Bone Support AB, Lund, Sweden), which later formed into bone and allowed the bone to remodel.