Clement Nicholas D, Phillips Sally-Ann, Biant Leela C
Department of Orthopaedics and Trauma, The Royal Infirmary of Edinburgh, Little France, Edinburgh EH16 4SA, UK.
J Orthop Surg Res. 2010 Dec 9;5:92. doi: 10.1186/1749-799X-5-92.
We describe a novel closed pantalar dislocation with an associated sagittal medial talar body and medial malleolus fractures. Closed reduction was attempted unsuccessfully. Open reduction was performed, revealing a disrupted talonavicular joint with instability of the calcaneocuboid joint. This configuration required stabilisation with an external fixator. There were no signs of avascular necrosis, or arthrosis at 15 months follow but is currently using a stick to mobilise.
我们描述了一种新型的闭合性距下关节脱位，伴有矢状面内侧距骨体和内踝骨折。尝试进行闭合复位但未成功。进行了切开复位，发现距舟关节破坏，跟骰关节不稳定。这种情况需要使用外固定器进行固定。随访15个月时，没有出现缺血性坏死或关节炎的迹象，但目前仍需借助拐杖行走。
