Isay M, Wolvius R, Ochsner P E
Orthopädische Klinik, Kantonsspital Liestal.
Z Unfallchir Versicherungsmed. 1992;85(1):12-8.
In a retrospective study we analysed 29 operative treated fractures of the Talus. The classification of Marti and Weber has been used in this study. The incidence of necrosis was 17% of the group III and IV and that one of arthritis 27%. There was no infection in our series. We doubt that a longterm non weight-bearing with a caliper brace has an effect on the outcome of a necrosis of the Talus. The evidence of the Hawkins' sign on the ap-radiograph at 6-8 weeks is a good and simple parameter of the vitality of the Talus.
在一项回顾性研究中，我们分析了29例手术治疗的距骨骨折。本研究采用了马尔蒂和韦伯的分类方法。III组和IV组的坏死发生率为17%，关节炎发生率为27%。我们的系列病例中无感染发生。我们怀疑长期使用长腿支具不负重对距骨坏死的预后有影响。6 - 8周时踝关节正位X线片上出现霍金斯征是距骨活力的一个良好且简单的指标。
