Pehlivan Ozcan, Akmaz Ibrahim, Solakoglu Can, Rodop Osman
Gulhane Military Medical Academy, Haydarpasa Training Hospital, Department of Orthopaedics and Traumatology, Istanbul, Turkey.
Arch Orthop Trauma Surg. 2002 Dec;122(9-10):541-3. doi: 10.1007/s00402-002-0448-x. Epub 2002 Nov 7.
In this paper, a case of closed medial subtalar dislocation and accompanying talar head fracture in a 22-year-old man which occurred while walking on a downhill road is reported. Closed reduction under general anesthesia was unsuccessful. The obstacle for closed reduction was determined at surgery for open reduction and internal fixation as buttonholing of the talar head through the extensor retinaculum. At the 26-month follow-up, he was pain-free in his daily activities.
本文报道了一例22岁男性在走下坡路时发生的闭合性距下关节内侧脱位并伴有距骨头骨折的病例。全身麻醉下的闭合复位未成功。在手术进行切开复位内固定时，确定闭合复位的障碍是距骨头通过伸肌支持带形成纽扣孔。在26个月的随访中，他在日常活动中无疼痛。
