Léduc Stephane, Clare Michael P, Laflamme G Yves, Walling Arthur K
Department of Orthopaedic Surgery, Université de Montréal, Hôpital Sacré-Coeur de Montréal, 5400, boul. Gouin Ouest, Québec, Montréal, Canada, H4J 1C5.
Foot Ankle Clin. 2008 Dec;13(4):753-65. doi: 10.1016/j.fcl.2008.09.004.
Avascular necrosis of the talus is one the most challenging problems encountered in posttraumatic reconstruction of the hindfoot. Since the first description of the talus injury in 1608 by Fabricius of Hilden, our knowledge of the talar anatomy, injuries, sequelae, and management has increased significantly. Adequate knowledge of the etiology, the extent of the disease, and the degree of patient symptoms are required to determine optimal treatment.
距骨缺血性坏死是后足创伤后重建中遇到的最具挑战性的问题之一。自1608年希尔登的法布里修斯首次描述距骨损伤以来,我们对距骨解剖、损伤、后遗症及治疗的认识有了显著提高。确定最佳治疗方案需要充分了解病因、疾病范围及患者症状程度。