Amon K, Janssen A
Unfallchirurg. 1989 Jul;92(7):335-45.
With the exception of fracture dislocations following fractures of the ankle joint and talus, dislocations in the talus are very infrequent injuries. They pose a lot of management problems: soft-tissue damage in open and closed dislocations, imperfect reduction caused by osteochondral fragments, recurrent instability, and aseptic necrosis of the talus, which is greatly feared. Anatomical and prognostic criteria are included in a classification of mono-, bi- and triarticular dislocations of the talus. Based on six of our own cases treated in the last 12 months, we report the mechanisms of injury, management, and early results. In accordance with the results in the literature in the last few years, reconstruction of ligament damage and joint debridement were carried out in four cases and the results described. One case of open total dislocation of the talus is presented, which was complicated by a fracture of the calcaneus without traumatic avascular necrosis.
除踝关节和距骨骨折后的骨折脱位外，距骨脱位是非常罕见的损伤。它们带来了许多处理难题：开放性和闭合性脱位中的软组织损伤、骨软骨碎片导致的复位不完善、复发性不稳定以及令人极为担忧的距骨无菌性坏死。距骨单关节、双关节和三关节脱位的分类纳入了解剖学和预后标准。基于我们在过去12个月中治疗的6例自身病例，我们报告了损伤机制、处理方法及早期结果。根据过去几年的文献结果，对4例进行了韧带损伤重建和关节清创，并描述了结果。本文介绍了1例距骨开放性全脱位病例，该病例合并跟骨骨折但无创伤性缺血性坏死。
