Research progress of surgical treatment for lateral malleolus defect_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WANG Zheng ¹ ,  YU Aixi ^1,2

1. Department of Trauma and Microscopic Orthopedics, Zhongnan Hospital of Wuhan University, Wuhan Hubei, 430071, P.R.China;
2. Center of Wuhan Clinical Medical Research of Microsurgery, Wuhan Hubei, 430071, P.R.China;

Corresponding?author：

YU Aixi, Email: yuaixi666@163.com

Keywords：

Lateral malleolus defect; surgical treatment; research progress

DOI：

10.7507/1002-1892.201902047

Video：

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Objective To review the research progress of the surgical treatment for lateral malleolus defect.Methods The related literature about surgical treatment and effectiveness of lateral malleolus defect at home and abroad was reviewed, summarized, and analysed.Results Lateral malleolus defects are often caused by severe trauma or wide resection of fibular neoplasms. Although the incidence is not high, the defects are difficult to handle. These bony defects should be reconstructed to prevent an abnormal gait induced by ankle instability and avoid the occurrence of traumatic arthritis. Various repair methods have been developed, including bone transplantation, fibula lengthening, and ankle arthrodesis.Conclusion There are various surgical methods to repair the defect of lateral malleolus, but each has its own advantages and disadvantages. In order to achieve the best results, the surgeon should choose the appropriate operation according to his own level, the patient’s specific injury, and age.

Citation： WANG Zheng, YU Aixi. Research progress of surgical treatment for lateral malleolus defect. Chinese Journal of Reparative and Reconstructive Surgery, 2019, 33(9): 1196-1199. doi: 10.7507/1002-1892.201902047 Copy

1.	俞立新, 馬鎖坤. 腓骨中段" Z”形截骨延長重建外踝一例. 中華顯微外科雜志, 1997, 20(4): 250.
2.	Capanna R, van Horn JR, Biagini R, et al. Reconstruction after resection of the distal fibula for bone tumor. Acta Orthop Scand, 1986, 57(4): 290-294.
3.	Herring CL Jr, Hall RL, Goldner JL. Replacement of the lateral malleolus of the ankle joint with a reversed proximal fibular bone graft. Foot Ankle Int, 1997, 18(6): 317-323.
4.	Babhulkar SS, Pande KC, Babhulkar S. Ankle instability after fibular resection. J Bone Joint Surg (Br), 1995, 77(2): 258-261.
5.	馬武秀. 自體骨移植修復骨缺損的研究進展. 中國骨與關節損傷雜志, 2011, 26(6): 574-576.
6.	左健, 康建敏, 潘樂. 脛骨下段大段瘤性骨缺損修復重建的研究進展. 中國修復重建外科雜志, 2018, 32(9): 1211-1217.
7.	蘇瑞鑒, 曾麟杰, 陳善豪. 踝關節缺損的修復重建二例. 中國修復重建外科雜志, 2006, 20(11): 1155-1156.
8.	張巖, 蔡培華, 阮洪江, 等. 吻合血管的腓骨頭聯合皮瓣移植修復復雜外踝缺損. 中國修復重建外科雜志, 2008, 22(11): 1288-1291.
9.	Bibbo C, Ehrlich DA, Kovach SJ 3rd. Reconstruction of the pediatric lateral malleolus and physis by free microvascular transfer of the proximal fibular physis. J Foot Ankle Surg, 2015, 54(5): 994-1000.
10.	潘振宇, 喻愛喜, 張建華, 等. 帶血管蒂腓骨頭移植重建外踝的解剖及初步臨床應用. 中華顯微外科雜志, 2006, 29(5): 364-366.
11.	王樹鋒, 呂占輝, 王明山, 等. 帶血供腓骨小頭骨骺移植的解剖與臨床研究. 中華骨科雜志, 2001, 21(2): 99-102.
12.	Tsai TM, Ludwig L, Tonkin M. Vascularized fibular epiphyseal transfer. A clinical study. Clin Orthop Relat Res, 1986, (210): 228-234.
13.	Rajacic N, Dashti H. Reconstruction of the lateral malleolus using a reverse-flow vascularized fibular head: a case report. Microsurgery, 1996, 17(3): 158-161.
14.	Bickels J, Kollender Y, Pritsch T, et al. Knee stability after resection of the proximal fibula. Clin Orthop Relat Res, 2007, 454: 198-201.
15.	李靜東, 宋守禮, 朱盛修. 帶血管蒂的腓骨(膜)逆行移位術的解剖學基礎. 解放軍醫學雜志, 2000, 25(4): 266.
16.	劉云建, 沈揚. 帶血管蒂腓骨逆行移位重建外踝五例. 中國修復重建外科雜志, 1994, 8(4): 226-227.
17.	de Gauzy JS, Kany J, Cahuzac JP. Distal fibular reconstruction with pedicled vascularized fibular head graft: a case report. J Pediatr Orthop B, 2002, 11(2): 176-180.
18.	Gao YS, Zhang CQ, Sheng JG. Reverse transfer of the proximal vascularized fibula to reconstruct the lateral malleolus: a case report and literature review. J Foot Ankle Surg, 2016, 55(2): 397-400.
19.	陳振光, 余國榮, 喻愛喜, 等. 第二跖骨頭缺血性壞死的顯微外科治療. 中國修復重建外科雜志, 1998, 12(5): 283-284.
20.	俞立新, 高建明, 吳水培. 帶血供第 2 跖骨底移植重建外踝的解剖學基礎. 中國臨床解剖學雜志, 2002, 20(6): 429-430.
21.	俞立新, 高建明, 吳水培, 等. 帶血管蒂第二跖骨底骨瓣移位修復外踝骨缺損. 中國修復重建外科雜志, 2002, 16(2): 117-119.
22.	吳群峰, 俞立新, 張發惠. 創傷性外踝復合組織缺損的顯微外科修復. 中國骨與關節損傷雜志, 2010, 25(10): 946-947.
23.	Gilbert A, Teot L. The free scapular flap. Plast Reconstr Surg, 1982, 69(4): 601-604.
24.	Faure P, Canovas F, Bonnel F, et al. Free osteocutaneous scapular apophysis flap for reconstruction of the lateral malleolus. Ann Plast Surg, 2001, 47(3): 328-331.
25.	杜全紅, 史永安, 叢海波, 等. 游離髂骨移植重建外踝的臨床研究. 中華創傷骨科雜志, 2016, 18(6): 493-497.
26.	Eger W, Sch?rle C, Zeiler G. Giant cell tumor of the distal fibula: fifteen-year result after en bloc resection and fibula reconstruction. Arch Orthop Trauma Surg, 2004, 124(1): 56-59.
27.	袁大為, 關鵬飛, 陳杰, 等. 帶筋膜髂骨塊移植修復外踝缺損的臨床研究. 中國骨與關節損傷雜志, 2015, 30(4): 378-380.
28.	Rajasekaran S, Sabapathy SR. A philosophy of care of open injuries based on the Ganga hospital score. Injury, 2007, 38(2): 137-146.
29.	Ko D, Jung HG, Kim HJ, et al. Reconstruction of compound loss of lateral malleolus and lateral ankle ligaments with double-bundle Achilles tendon-bone allograft. J Foot Ankle Surg, 2014, 53(2): 189-193.
30.	Jamshidi K, Mazhar FN, Masdari Z. Reconstruction of distal fibula with osteoarticular allograft after tumor resection. Foot Ankle Surg, 2013, 19(1): 31-35.
31.	韋健, 容安, 周建飛, 等. 腓骨延長術治療外踝開放性骨缺損. 中醫正骨, 2016, 28(10): 62-63.
32.	王朝輝, 高峻青, 詹曉歡, 等. 一期清創聯合二期 Ilizarov 骨搬運技術修復創傷后外踝缺損. 中國修復重建外科雜志, 2019, 33(7): 685-670.
33.	Dieckmann R, Ahrens H, Streitbürger A, et al. Reconstruction after wide resection of the entire distal fibula in malignant bone tumours. Int Orthop, 2011, 35(1): 87-92.

1. 俞立新, 馬鎖坤. 腓骨中段" Z”形截骨延長重建外踝一例. 中華顯微外科雜志, 1997, 20(4): 250.
2. Capanna R, van Horn JR, Biagini R, et al. Reconstruction after resection of the distal fibula for bone tumor. Acta Orthop Scand, 1986, 57(4): 290-294.
3. Herring CL Jr, Hall RL, Goldner JL. Replacement of the lateral malleolus of the ankle joint with a reversed proximal fibular bone graft. Foot Ankle Int, 1997, 18(6): 317-323.
4. Babhulkar SS, Pande KC, Babhulkar S. Ankle instability after fibular resection. J Bone Joint Surg (Br), 1995, 77(2): 258-261.
5. 馬武秀. 自體骨移植修復骨缺損的研究進展. 中國骨與關節損傷雜志, 2011, 26(6): 574-576.
6. 左健, 康建敏, 潘樂. 脛骨下段大段瘤性骨缺損修復重建的研究進展. 中國修復重建外科雜志, 2018, 32(9): 1211-1217.
7. 蘇瑞鑒, 曾麟杰, 陳善豪. 踝關節缺損的修復重建二例. 中國修復重建外科雜志, 2006, 20(11): 1155-1156.
8. 張巖, 蔡培華, 阮洪江, 等. 吻合血管的腓骨頭聯合皮瓣移植修復復雜外踝缺損. 中國修復重建外科雜志, 2008, 22(11): 1288-1291.
9. Bibbo C, Ehrlich DA, Kovach SJ 3rd. Reconstruction of the pediatric lateral malleolus and physis by free microvascular transfer of the proximal fibular physis. J Foot Ankle Surg, 2015, 54(5): 994-1000.
10. 潘振宇, 喻愛喜, 張建華, 等. 帶血管蒂腓骨頭移植重建外踝的解剖及初步臨床應用. 中華顯微外科雜志, 2006, 29(5): 364-366.
11. 王樹鋒, 呂占輝, 王明山, 等. 帶血供腓骨小頭骨骺移植的解剖與臨床研究. 中華骨科雜志, 2001, 21(2): 99-102.
12. Tsai TM, Ludwig L, Tonkin M. Vascularized fibular epiphyseal transfer. A clinical study. Clin Orthop Relat Res, 1986, (210): 228-234.
13. Rajacic N, Dashti H. Reconstruction of the lateral malleolus using a reverse-flow vascularized fibular head: a case report. Microsurgery, 1996, 17(3): 158-161.
14. Bickels J, Kollender Y, Pritsch T, et al. Knee stability after resection of the proximal fibula. Clin Orthop Relat Res, 2007, 454: 198-201.
15. 李靜東, 宋守禮, 朱盛修. 帶血管蒂的腓骨(膜)逆行移位術的解剖學基礎. 解放軍醫學雜志, 2000, 25(4): 266.
16. 劉云建, 沈揚. 帶血管蒂腓骨逆行移位重建外踝五例. 中國修復重建外科雜志, 1994, 8(4): 226-227.
17. de Gauzy JS, Kany J, Cahuzac JP. Distal fibular reconstruction with pedicled vascularized fibular head graft: a case report. J Pediatr Orthop B, 2002, 11(2): 176-180.
18. Gao YS, Zhang CQ, Sheng JG. Reverse transfer of the proximal vascularized fibula to reconstruct the lateral malleolus: a case report and literature review. J Foot Ankle Surg, 2016, 55(2): 397-400.
19. 陳振光, 余國榮, 喻愛喜, 等. 第二跖骨頭缺血性壞死的顯微外科治療. 中國修復重建外科雜志, 1998, 12(5): 283-284.
20. 俞立新, 高建明, 吳水培. 帶血供第 2 跖骨底移植重建外踝的解剖學基礎. 中國臨床解剖學雜志, 2002, 20(6): 429-430.
21. 俞立新, 高建明, 吳水培, 等. 帶血管蒂第二跖骨底骨瓣移位修復外踝骨缺損. 中國修復重建外科雜志, 2002, 16(2): 117-119.
22. 吳群峰, 俞立新, 張發惠. 創傷性外踝復合組織缺損的顯微外科修復. 中國骨與關節損傷雜志, 2010, 25(10): 946-947.
23. Gilbert A, Teot L. The free scapular flap. Plast Reconstr Surg, 1982, 69(4): 601-604.
24. Faure P, Canovas F, Bonnel F, et al. Free osteocutaneous scapular apophysis flap for reconstruction of the lateral malleolus. Ann Plast Surg, 2001, 47(3): 328-331.
25. 杜全紅, 史永安, 叢海波, 等. 游離髂骨移植重建外踝的臨床研究. 中華創傷骨科雜志, 2016, 18(6): 493-497.
26. Eger W, Sch?rle C, Zeiler G. Giant cell tumor of the distal fibula: fifteen-year result after en bloc resection and fibula reconstruction. Arch Orthop Trauma Surg, 2004, 124(1): 56-59.
27. 袁大為, 關鵬飛, 陳杰, 等. 帶筋膜髂骨塊移植修復外踝缺損的臨床研究. 中國骨與關節損傷雜志, 2015, 30(4): 378-380.
28. Rajasekaran S, Sabapathy SR. A philosophy of care of open injuries based on the Ganga hospital score. Injury, 2007, 38(2): 137-146.
29. Ko D, Jung HG, Kim HJ, et al. Reconstruction of compound loss of lateral malleolus and lateral ankle ligaments with double-bundle Achilles tendon-bone allograft. J Foot Ankle Surg, 2014, 53(2): 189-193.
30. Jamshidi K, Mazhar FN, Masdari Z. Reconstruction of distal fibula with osteoarticular allograft after tumor resection. Foot Ankle Surg, 2013, 19(1): 31-35.
31. 韋健, 容安, 周建飛, 等. 腓骨延長術治療外踝開放性骨缺損. 中醫正骨, 2016, 28(10): 62-63.
32. 王朝輝, 高峻青, 詹曉歡, 等. 一期清創聯合二期 Ilizarov 骨搬運技術修復創傷后外踝缺損. 中國修復重建外科雜志, 2019, 33(7): 685-670.
33. Dieckmann R, Ahrens H, Streitbürger A, et al. Reconstruction after wide resection of the entire distal fibula in malignant bone tumours. Int Orthop, 2011, 35(1): 87-92.

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