距骨突骨折切开复位内固定的后内侧入路
Posteromedial Approach for Open Reduction and Internal Fixation of Talar Process Fractures.
作者信息
Hsu Andrew R, Scolaro John A
机构信息
Department of Orthopaedic Surgery, University of California-Irvine, Orange, CA, USA
Department of Orthopaedic Surgery, University of California-Irvine, Orange, CA, USA.
出版信息
Foot Ankle Int. 2016 Apr;37(4):446-52. doi: 10.1177/1071100716635813. Epub 2016 Mar 3.
UNLABELLED
Fractures of the posteromedial process of the talus are frequently the result of high-energy trauma to the lower extremity. The treatment of these uncommon injuries may be unfamiliar and challenging to many surgeons. Significant pain and disability can result if these injuries are not recognized or treated appropriately. Open reduction and internal fixation via a posteromedial approach with screws is a mainstay of operative treatment for simple fractures. In cases of fracture impaction and/or comminution, a medial uniplanar external fixator may be used to improve intraoperative fracture visualization and mini-fragment plates and screws can be used to secure areas of comminution.
LEVEL OF EVIDENCE
Level V, expert opinion.
未标注
距骨后内侧突骨折通常是下肢高能创伤的结果。许多外科医生可能对这些不常见损伤的治疗不熟悉且具有挑战性。如果这些损伤未得到识别或恰当治疗，可能会导致严重疼痛和残疾。对于简单骨折，经后内侧入路用螺钉进行切开复位内固定是手术治疗的主要方法。在骨折嵌插和/或粉碎的情况下，可使用内侧单平面外固定器来改善术中骨折的可视性，并用微型接骨板和螺钉固定粉碎区域。
证据级别
V级，专家意见。
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