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CC BY-NC-ND 4.0 · Joints 2019; 07(04): 228-232
DOI: 10.1055/s-0041-1730380
Technical Note

A New Treatment for the Reconstruction of the Medial Compartment of the Ankle: The Combined Use of Biological Materials

Marcello Lughi
1   Orthopedics and Traumatology Operative Unit, Morgagni Hospital, AUSL della Romagna, Forli, Italy
,
Alessandro Campagna
1   Orthopedics and Traumatology Operative Unit, Morgagni Hospital, AUSL della Romagna, Forli, Italy
,
Valeria Purpura 
2   Burn Center and Emilia Romagna Regional Skin Bank, Bufalini Hospital, AUSL della Romagna, Cesena, Italy
,
Elena Bondioli
2   Burn Center and Emilia Romagna Regional Skin Bank, Bufalini Hospital, AUSL della Romagna, Cesena, Italy
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Abstract

Fractures, especially if articular and periarticular, are frequently associated to functional and clinical disabling outcomes and chronic pain. In particular, the injuries with loss of bone, ligament, and/or tendon tissue in which the full recovery of the wound area is not obtained are the worst anatomical/pathological conditions to heal. In this study, three different biological materials were used as regenerative approaches to rebuild the medial malleolus fracture of the ankle in which loss of bone, ligament, and tendon tissue occur. In particular, the morselized human bone tissue was combined with the human dermis decellularized, both augmented with homologous platelet-rich plasma. The magnetic resonance imaging study with contrast at the follow-up showed a signal compatible with vascularization of the tissue without sign of degeneration. Our new regenerative approach in which different biological materials were combined together showed a good choice of treatment for the reconstruction of not repairable outcome of a fracture.

Keywords

ankle - reconstruction - biomaterials - fractures


Publication History

Received: 08 May 2019

Accepted: 18 April 2021

Article published online:
18 June 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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