Centre Hospitalier de Versailles-Université Versailles Saint-Quentin, 177, rue de Versailles, 78157 Le Chesnay, France.
Knee Surg Sports Traumatol Arthrosc. 2012 Sep;20(9):1850-3. doi: 10.1007/s00167-011-1742-3. Epub 2011 Nov 3.
Talar neck fractures are severe injuries, and their complications can lead to significant functional disability. Open reduction and internal fixation still constitute the treatment of choice. We report a case of a patient with a Hawkins type III talar neck fracture who was treated successfully with the use of an entirely arthroscopic technique. Four arthroscopic portals were used to control fracture reduction and fixation, which was made by two cannulated screws. There were no complications, and the patient returned uneventfully to her previous daily activities.
Therapeutic study, Case report with no comparison group, Level IV.
距骨颈骨折是一种严重的损伤,其并发症可导致显著的功能障碍。切开复位内固定仍然是治疗的首选。我们报告了一例使用全关节镜技术成功治疗的 Hawkins Ⅲ型距骨颈骨折患者。使用四个关节镜入路控制骨折复位和固定,通过两个空心螺钉进行固定。没有并发症,患者顺利返回之前的日常活动。
治疗研究,无对照组的病例报告,IV 级。