Autologous tendon graft for the repair of superior tibiofibular joint dislocation

doi:10.3969/j.issn.2095-4344.2014.18.022

Abstract

Abstract:

BACKGROUND: Superior tibiofibular joint dislocation is not common, and often combined with other injuries in the clinic, so it is easy to be neglected or missed. Thus, some side outcomes appeared, such as chronic knee joint pain, dysesthesia and limitation of motion.
OBJECTIVE: To reconstruct normal superior tibiofibular joint by using autologous tendon graft to bone tunnel.
METHODS: Three patients with superior tibiofibular joint dislocation, who were missed and treated with improper method, were enrolled in Workers General Hospital, Xishan Coal Electricity Group since 2009. One was a male soldier aged 26 years old; one was a male miner aged 36 years old; one was a female athlete aged 36 years old. The clinical symptoms were different in these three patients, but their capitulum fibulae had the feeling of tenderness and flotation. Accessory examinations (X-ray/MRI) presented negative. Ipsilateral autologous semitendinosus muscles and gracilis tendon were used to repair superior tibiofibular joint dislocation in the three patients so as to reconstruct superior tibiofibular joint.
RESULTS AND CONCLUSION: The effects of postoperative functional exercise were satisfactory in three patients with superior tibiofibular joint dislocation. Lateral knee joint was swollen. Fibular head presented obvious tenderness and floating feeling. When ankle joint was moving, pain and limitation of motion completely disappeared. The sense of ankle and foot and the strength of muscle recovered to normal. These results indicated that to avoid missed diagnosis, physicians should check whether the capitulum fibulae was moving or not before autologous tendon graft was utilized to reconstruct superior tibiofibular joint dislocation.

中国组织工程研究杂志出版内容重点：肾移植；肝移植；移植；心脏移植；组织移植；皮肤移植；皮瓣移植；血管移植；器官移植；组织工程

全文链接：

Key words: tibia, fibula, knee joint, ankle joint, transplants, tissue transplantation

CLC Number:

R318

Wang Jun-feng. Autologous tendon graft for the repair of superior tibiofibular joint dislocation[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(18): 2915-2920.

Figures/Tables 1

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