DOI QR코드

DOI QR Code

Unhealed Wound of the Lower Leg due to Synovial Fistula of the Ankle Joint

발목관절 활액막 누공으로 인한 치유되지 않은 상처

  • Park, Chul Hyun (Department of Orthopedic Surgery, Yeungnam University Hospital) ;
  • Ryu, Seung Min (Department of Orthopedic Surgery, Yeungnam University Hospital) ;
  • Park, Jae Woo (Department of Orthopedic Surgery, Yeungnam University Hospital)
  • 박철현 (영남대학교병원 정형외과) ;
  • 류승민 (영남대학교병원 정형외과) ;
  • 박재우 (영남대학교병원 정형외과)
  • Received : 2017.03.06
  • Accepted : 2017.06.01
  • Published : 2017.09.15

Abstract

Synovial fistula of the ankle joint is an uncommon complication from an ankle sprain. This may likely result in an unhealed wound around the ankle joint due to continuous leakage of joint fluid. However, in the event of an open wound on the lower leg, and not on the joint, it may be difficult to consider synovial fistula as a cause of the open wound. We experienced an interesting case with an unhealed open wound on the lower leg due to a synovial fistula of the ankle joint following an ankle sprain. We obtained good results after a treatment using a self-produced suction drainage device on the unhealed open wound.

Keywords

References

  1. Diaz Heredia J, Ruiz Iban MA, Cuellar Gutierrez R, Ruiz Diaz R, Cebreiro Martinez del Val I, Turrion Merino L. Early postoperative transtibial articular fistula formation after anterior cruciate ligament reconstruction: a review of three cases. Arch Orthop Trauma Surg. 2014;134:829-34. https://doi.org/10.1007/s00402-014-1988-6
  2. Yiannakopoulos CK. Diagnosis and treatment of postarthroscopic synovial knee fistulae: a report of four cases and review of the literature. J Knee Surg. 2007;20:34-8.
  3. Richards RS, Curl LA, Moorman CT 3rd, Mallon WJ. Sterile synovio-cutaneous fistula: a potential complication of repair of large and massive rotator cuff tears. J Shoulder Elbow Surg. 2006;15:436-9. https://doi.org/10.1016/j.jse.2005.03.008
  4. Shirley DS, Mullet H, Stanley JK. Extensor tendon sheath fistula formation as a complication of wrist arthroscopy. Arthroscopy. 2008;24:1311-2. https://doi.org/10.1016/j.arthro.2007.05.016
  5. Lee WC, Kim JH, Song JK, Moon JS. Fistula of the ankle: a complication of ankle sprain. J Korean Foot Ankle Soc. 2002;6:261-4.
  6. Chen SH, Wang T, Lee CH. Tuberculous ankle versus pyogenic septic ankle arthritis: a retrospective comparison. Jpn J Infect Dis. 2011;64:139-42.
  7. Mendez-Fernandez MA. Treatment of chronic recurrent synovial fistulae with myofascial flaps. Br J Plast Surg. 1993;46:303-6. https://doi.org/10.1016/0007-1226(93)90008-Y
  8. Diduch DR, Lee GP, Barr M. Traumatic articular-bursal fistula in a collegiate football player. Arthroscopy. 2005;21:1266.
  9. Iveson JM, Hill AG, Wright V. Wrist cysts and fistulae. An arthrographic study of the rheumatoid wrist. Ann Rheum Dis. 1975;34:388-94. https://doi.org/10.1136/ard.34.5.388
  10. Hussein ElGhamry A. Peroneal tendofascial flap: a new fascial flap for Achilles tendon coverage, a preliminary report. Br J Plast Surg. 2003;56:284-8. https://doi.org/10.1016/S0007-1226(03)00116-4
  11. Stannard JP, Volgas DA, Stewart R, McGwin G Jr, Alonso JE. Negative pressure wound therapy after severe open fractures: a prospective randomized study. J Orthop Trauma. 2009;23:552-7. https://doi.org/10.1097/BOT.0b013e3181a2e2b6
  12. Jackson FE, Pratt RA 3rd. Technical report: a silicone rubber suction drain for drainage of subdural hematomas. Surgery. 1971;70:578-9.
  13. Meyerson JM. A brief history of two common surgical drains. Ann Plast Surg. 2016;77:4-5. https://doi.org/10.1097/SAP.0000000000000734
  14. Gaines RJ, Dunbar RP. The use of surgical drains in orthopedics. Orthopedics. 2008;31:702-5. https://doi.org/10.3928/01477447-20110505-06