Perugia Dario, Basile Attilio, Massoni Carlo, Gumina Stefano, Rossi Folco, Ferretti Andrea
Università di Roma Tor Vergata, Rome, Italy.
Int Orthop. 2002;26(1):56-60. doi: 10.1007/s002640100296.
Forty-five patients who presented between 1983 and 1998 with acute closed dislocation of the subtalar joint were selected for this study. There were 37 medial and eight lateral dislocations. The mean follow-up was 7.5 years (range: 2-17 years). The mean American Orthopaedic Foot and Ankle Society Hindfoot Score (AOFAS) at follow-up was 84. Subtalar fusion was required in one patient with persistent severe hind-foot instability. There was no significant difference in the AOFAS score between medial and lateral subtalar dislocations. We conclude that pure subtalar dislocation produced by low energy trauma, promptly reduced and immobilised for 4 weeks has a favourable long-term outcome.
本研究选取了1983年至1998年间出现距下关节急性闭合性脱位的45例患者。其中内侧脱位37例，外侧脱位8例。平均随访时间为7.5年（范围：2至17年）。随访时美国矫形足踝协会后足评分（AOFAS）的平均值为84分。1例存在持续性严重后足不稳的患者需要进行距下关节融合术。内侧和外侧距下关节脱位之间的AOFAS评分无显著差异。我们得出结论，低能量创伤导致的单纯距下关节脱位，及时复位并固定4周，具有良好的长期预后。
