PMC4899596_01
(a) Normal side with a lateral column of 31.0 mm. (b) Affected side with a lateral column of 24.5 mm.
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fig1
The lateral column of his right foot was shortened by approximately 6.5 mm on X-ray (Figure 1).
Depression of the cuboid articular surface between the cuboid and the fourth metatarsal (3.5 mm).
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A computed tomography (CT) scan showed displacement of the joint surface between the cuboid and the fourth metatarsal, with a 3.5 mm depression observed in the range of the articular surface 3/4 (Figure 2).
Intraoperative findings.  : insert position of arthroscopy.
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Using a 1.9 mm arthroscope, we examined the Lisfranc joint (Figure 3) and noted that the cuboid articular surface between the cuboid and the fourth metatarsal was crushed (Figure 4).
Arthroscopic findings. (a) Articular surface of metatarsal between the cuboid and the fourth metatarsal. (b) Articular surface of metatarsal between the cuboid and the fifth metatarsal. (c) Articular surface of cuboid between the cuboid and the fourth metatarsal. (d) Articular surface of cuboid between the cuboid and the fifth metatarsal.
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fig4
Using a 1.9 mm arthroscope, we examined the Lisfranc joint (Figure 3) and noted that the cuboid articular surface between the cuboid and the fourth metatarsal was crushed (Figure 4).
Intraoperative findings. (a) Artificial bone was applied into a large defect of the bone using a bone biopsy needle. (b) Appearance after the defect had been filled with artificial bone.
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A bone biopsy needle was then used to fill in the large defect with artificial bone (Figure 5).
Defect area filled with artificial bone.
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We used about 2.0 g in the fracture site (Figure 6).
Lateral column length: (a) prior to surgery; (b) immediately after surgery; (c) 6 months after surgery.
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Six months after surgery, the lateral column of the patient's right foot was 29.6 mm in length on X-ray (Figure 7).
Depression of the cuboid articular surface: (a) prior to surgery; (b) 6 months after surgery.
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The joint surface between the cuboid and the fourth metatarsal was depressed by 1.5 mm depression by CT scan (Figure 8).