Jungbluth P, Wild M, Thelen S, Fritz B, Windolf J, Hakimi M
Klinik für Unfall- und Handchirurgie, Heinrich Heine Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.
Unfallchirurg. 2009 Dec;112(12):1034-8, 1040. doi: 10.1007/s00113-009-1568-3.
The objective of our study is to evaluate the functional and subjective results following subtalar dislocations without any associated bone injuries and to examine whether the direction of dislocation has any effect on the post-traumatic results.
Over the period from February 1998 to May 2006, 56 patients with a subtalar dislocation were enrolled in the study. A subtalar dislocation without any associated bone injuries was only present in 13 patients. Follow-up examination after an average of 39.8 months was performed using the AOFAS Ankle-Hindfoot scale. The adapted classification developed by Altman was used to assess the post-traumatic degree of arthrosis radiologically.
The average AOFAS score was 81, with good results in 11 patients and satisfactory results in 2 patients. The range of motion (ROM) for the ankle-hindfoot joint was 39.2 degrees .
Despite the severity of the injury, the functional and subjective results of subtalar dislocations without any bone injuries are good. Generally, no early post-traumatic arthrosis occurs if there are no associated bone injuries. No differences were established between medial and lateral subtalar dislocations.
我们研究的目的是评估距下关节脱位且无任何相关骨损伤后的功能和主观结果，并研究脱位方向是否对创伤后结果有任何影响。
在1998年2月至2006年5月期间，56例距下关节脱位患者纳入本研究。仅13例患者存在距下关节脱位且无任何相关骨损伤。平均39.8个月后采用美国足踝外科协会（AOFAS）踝-后足评分系统进行随访检查。采用阿尔特曼改良分类法对创伤后关节病程度进行影像学评估。
AOFAS平均评分为81分，11例结果良好，2例结果满意。踝-后足关节活动范围（ROM）为39.2度。
尽管损伤严重，但距下关节脱位且无任何骨损伤的功能和主观结果良好。一般来说，如果没有相关骨损伤，创伤后早期不会发生关节病。内侧和外侧距下关节脱位之间未发现差异。
