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后足损伤。

Injuries of the hindfoot.

作者信息

Parkes J C

出版信息

Clin Orthop Relat Res. 1977 Jan-Feb(122):28-36.

PMID:13952
Abstract

Although the long term prognosis for many injuries of the hind foot is poor, prompt diagnosis and treatment can lead to a satisfactory result. Failure to treat these injuries promptly can lead to circulatory problems and skin necrosis. Stiffness and post-traumatic arthritis may occur despite adequate treatment due to the complex anatomy of the region. With the exception of certain rare fractures of the os calcis, displaced fractures of the talar neck and body and fracture-dislocations, injuries in this region of the foot heal best after closed treatment and early mobilization of the ankle and foot. Associated bodily injuries elsewhere, particularly those involving the spine, ankle, and tarsometatarsal joints should be anticipated in extensive injuries of the hind foot.

摘要

尽管后足许多损伤的长期预后较差,但及时诊断和治疗可取得满意结果。未能及时治疗这些损伤可能导致循环问题和皮肤坏死。由于该区域解剖结构复杂,即使治疗得当,仍可能出现僵硬和创伤后关节炎。除某些罕见的跟骨骨折、距骨颈和体部的移位骨折以及骨折脱位外,足部该区域的损伤在闭合治疗以及踝关节和足部早期活动后愈合情况最佳。在后足广泛损伤时,应预料到身体其他部位存在相关损伤,尤其是涉及脊柱、踝关节和跗跖关节的损伤。

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