Lee Jake, Hamilton Graham
PGY II, San Francisco Bay Area Foot and Ankle Residency, Oakland, CA, USA.
J Foot Ankle Surg. 2009 May-Jun;48(3):372-5. doi: 10.1053/j.jfas.2009.01.008. Epub 2009 Apr 8.
Complete dislocation of the talus is an enigma in the realm of foot and ankle surgery. With the advent of airbags and other sophisticated safety features, more people are surviving motor vehicle accidents and presenting to the emergency department with talar fractures. Most surgeons are aware of the associated risks of avascular necrosis and infection, although large sample studies of talar fractures are scarce in the literature. Moreover, reports of total extrusion of the talus are limited to isolated cases. In this article, the case of a patient who experienced an open, complete talus dislocation, treated with immediate primary repair, is presented.
距骨完全脱位在足踝外科领域是一个难题。随着安全气囊和其他先进安全功能的出现,越来越多的人在机动车事故中幸存下来,并因距骨骨折被送往急诊科。大多数外科医生都意识到了缺血性坏死和感染的相关风险,尽管文献中关于距骨骨折的大样本研究很少。此外,距骨完全脱出的报告仅限于个别病例。本文介绍了一例开放性距骨完全脱位患者,接受了即刻一期修复治疗的病例。
4级。