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Lateral ankle reconstruction using a patellar tendon graft: a case report.
Wouter Schuurman1, W Jaap Willems
1Onze Lieve Vrouwe Gasthuis Hospital, Orthopaedics, Oosterparkstraat, Amsterdam 1090 HM, The Netherlands. w.j.willems@olvg.nl
Summary
A rare case of solitary bone metastasis from kidney cancer in the fibula was treated with distal fibulectomy and ankle ligament reconstruction. This novel technique offers a good outcome for this rare indication.
Area of Science:
- Orthopedic oncology
- Surgical reconstruction
Background:
- Solitary osseous metastasis of renal cell carcinoma (RCC) is uncommon.
- Distal fibula localization of such metastasis is exceptionally rare.
Observation:
- A 64-year-old patient with RCC presented with a solitary metastasis in the distal fibula.
- The patient underwent distal fibulectomy and lateral ankle ligament reconstruction using a patellar bone-tendon-bone allograft.
Findings:
- The surgical procedure involved reconstruction of lateral ankle ligaments after distal fibulectomy.
- One-year postoperative follow-up demonstrated a good clinical outcome.
Implications:
- This case presents a novel and effective method for lateral ankle ligament reconstruction following distal fibulectomy.
- The described technique may be a valuable option for managing rare distal fibula reconstructions in orthopedic oncology.
