Taraz-Jamshidi Mohammad Hosein, Shapari Omid, Shiravani Reza, Moalemi Saeed, Birjandinejad Ali
Orthopedic Research Center, Shahid Kamyab Hospital, Department of Orthopedic Surgery, Mashhad University of Medical Sciences, Mashhad, IR Iran.
Trauma Mon. 2013 Sep;18(2):90-4. doi: 10.5812/traumamon.11228. Epub 2013 Aug 11.
Fracture - dislocations of the talus are typically due to high energy injuries. Displaced fracture - dislocations of the talus have poor outcomes in general and complications are common. Although talar fracture is common and comprises the second most common tarsal fracture, bilateral fracture - dislocations of the talus are rare. Not many reports regarding the subject can be found in the literature.
We report a patient with bilateral fracture - dislocations of the talus treated by open reduction and internal fixation. This patient was a 25 year-old man who sustained bilateral fracture - dislocation of the talus due to a motor vehicle accident.
Bilateral talar fracture - dislocation is rare. The surgical approach discussed together with the pathomechanics of this injury can yield good short term results.
距骨骨折脱位通常由高能量损伤所致。一般来说,移位的距骨骨折脱位预后较差且并发症常见。尽管距骨骨折很常见,是第二常见的跗骨骨折,但双侧距骨骨折脱位却很罕见。文献中关于该主题的报道不多。
我们报告一例通过切开复位内固定治疗的双侧距骨骨折脱位患者。该患者为一名25岁男性,因机动车事故导致双侧距骨骨折脱位。
双侧距骨骨折脱位罕见。所讨论的手术方法以及该损伤的发病机制可产生良好的短期效果。