Lancaster Sarah, Harries William
Trauma and Orthopaedics, Frenchay Hospital, Bristol, United Kingdom.
J Foot Ankle Surg. 2013 May-Jun;52(3):364-6. doi: 10.1053/j.jfas.2013.02.008.
Combined talus and calcaneum fractures are rare in themselves. We report the case of an unusual fracture pattern of the talus and calcaneum in an otherwise, healthy 17-year-old male. Plain radiographic images of the foot revealed a fracture through the neck of the talus. Additional computed tomography imaging showed the fracture line extending through the talus and entire calcaneum. The fracture was open and associated with rupture of the tibialis anterior and extensor hallucis longus tendons. The patient underwent debridement with open reduction and internal fixation of the talar component of the fracture using 2 screws. The calcaneal component was treated conservatively. The soft tissue injuries to the 2 tendons were also repaired. The patient made good progress with this management.
距骨和跟骨联合骨折本身较为罕见。我们报告了一例17岁健康男性的距骨和跟骨异常骨折模式。足部的X线平片显示距骨颈部骨折。额外的计算机断层扫描成像显示骨折线穿过距骨并延伸至整个跟骨。该骨折为开放性骨折，并伴有胫前肌腱和拇长伸肌腱断裂。患者接受了清创术，使用2枚螺钉对距骨骨折部分进行切开复位内固定。跟骨部分采用保守治疗。同时也修复了两根肌腱的软组织损伤。通过这种治疗，患者恢复良好。
