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Interpositie van dermis graft bij de behandeling van distale tibiofibulaire synostose

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Nederlands Tijdschrift voor Traumachirurgie

Samenvatting

Een distale tibiofibulaire synostose kan optreden na een operatieve behandeling of traumatisch letsel ter plaatse van het distale tibiofibulaire gewricht. Er bestaat onvoldoende consensus over de meest optimale behandeling en recidivering is een regelmatig optredende complicatie. In dit artikel beschrijven wij drie casus met een distale tibiofibulaire synostose door verschillende oorzaken, waarbij resectie van de synostose plaatsvond. Toepassing van een dermisgraft uit de lies ter interpositie laat goede resultaten zien in het voorkomen van een recidief.

Summary

Distal tibiofibular synostosis can occur after surgery or a traumatic injury of the distal tibiofibular joint. Insufficient consensus exists about the optimal treatment regimen. Recurrence of the synostosis is a frequent complication. In this article we present three cases of distal tibiofibular synostosis with different etiologies, treated with resection of the synostosis. Application of a full-thickness dermis graft from the groin as interposition showed good results in preventing recurrence of the synostosis.

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Author information

Authors and Affiliations

  1. afdeling Plastische chirurgie, CatharinaZiekenhuis, Eindhoven, The Netherlands

    M.T. Letsch, H.L. de Boer & M.M. Hoogbergen

  2. afdeling Orthopedie, CatharinaZiekenhuis, Eindhoven, The Netherlands

    A. Besselaar

Authors
  1. M.T. Letsch
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  2. A. Besselaar
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  3. H.L. de Boer
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  4. M.M. Hoogbergen
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Additional information

1 arts-assistent plastische chirurgie, afdeling Plastische chirurgie

2 orthopedisch chirurg, afdeling Orthopedie

3 plastisch chirurg, afdeling Plastische chirurgie Alle auteurs zijn verbonden aan het Catharina Ziekenhuis, Eindhoven

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Letsch, M., Besselaar, A., de Boer, H. et al. Interpositie van dermis graft bij de behandeling van distale tibiofibulaire synostose. Ned Tijdschr Traumachir 23, 128–131 (2015). https://doi.org/10.1007/s12506-015-0034-9

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  • DOI: https://doi.org/10.1007/s12506-015-0034-9

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