Tan E, Chua Hs, Ooi Cl, Zulkiflee O
Department of Orthopaedics, Hospital Pulau Pinang, George Town, Malaysia.
Malays Orthop J. 2012 Nov;6(3):60-2. doi: 10.5704/MOJ.1207.009.
Total talus dislocation is a rare injury and is commonly accompanied by associated fractures. Common worrisome sequelae are infection, avascular necrosis and post-traumatic arthritis. We report here on a patient who sustained an open total talus dislocation with an ipsilateral medial malleolus fracture. Following early debridement, reduction and a combination of internal and external fixations, early recovery was good with no evidence of avascular necrosis.
Total talus dislocation, avascular necrosis, infection, outcome.
距骨全脱位是一种罕见的损伤，常伴有相关骨折。常见的令人担忧的后遗症是感染、缺血性坏死和创伤后关节炎。我们在此报告一名患者，其发生开放性距骨全脱位并伴有同侧内踝骨折。经过早期清创、复位以及内固定与外固定相结合的治疗，早期恢复良好，无缺血性坏死迹象。
距骨全脱位；缺血性坏死；感染；结果
