Barg Alexej, Suter Thomas, Nickisch Florian, Wegner Nicholas J, Hintermann Beat
Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.
Department of Orthopaedics and Trauma, Kantonsspital Baselland, Rheinstrasse 26, Liestal CH-4410, Switzerland.
Foot Ankle Clin. 2016 Mar;21(1):77-93. doi: 10.1016/j.fcl.2015.09.010. Epub 2015 Nov 14.
A talar neck malunion is one of the major complications following operative or nonoperative treatment of talar neck fractures. The most common posttraumatic talar malunion results in varus malalignment of the talar neck and can lead to painful overload of the lateral foot and substantial impairment of hindfoot function. Secondary procedures in patients with painful malunited talar neck fracture include salvage procedures and anatomic reconstruction procedures. Anatomic reconstruction of the talar neck is a reliable surgical treatment to regain function, decrease pain, and restore hindfoot alignment and range of motion.
距骨颈畸形愈合是距骨颈骨折手术或非手术治疗后的主要并发症之一。最常见的创伤后距骨畸形愈合会导致距骨颈内翻畸形,可导致足外侧疼痛性负荷过重和后足功能严重受损。疼痛性距骨颈骨折畸形愈合患者的二次手术包括挽救手术和解剖重建手术。距骨颈的解剖重建是恢复功能、减轻疼痛、恢复后足对线和活动范围的可靠手术治疗方法。