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伴有内侧或外侧移位的距下关节脱位(作者译)

[Subtalar dislocations with medial or lateral displacement (author's transl)].

作者信息

Marotte J H, Samuel P, Moati J C, Lord G, Bombart M

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1979 Oct-Nov;65(7):377-85.

PMID:161042
Abstract

The authors have observed 20 cases of subtalar dislocation, 16 with medial displacement and 4 with lateral displacement. The treatment given and the results are described. An experimental study has also been made which confirms that in medial dislocations the talo-navicular joint dislocates first whilst in lateral dislocations the talo-navicular joint dislocates last. The severity of assoicated lesions is emphasised. It is concluded that in severe displacement with complete extrusion of the talus, tibio-calcaneal arthrodesis gave better results than excision of the talus.

摘要

作者观察了20例距下关节脱位病例,其中16例为内侧移位,4例为外侧移位。文中描述了所采用的治疗方法及结果。还进行了一项实验研究,证实在内侧脱位时,距舟关节首先脱位,而在外侧脱位时,距舟关节最后脱位。文中强调了合并损伤的严重程度。得出的结论是,在距骨完全脱出的严重移位情况下,胫跟关节融合术比距骨切除术效果更好。

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