Kadakia Rishin, Konopka Jeff, Rodik Tristan, Ahmed Samra, Labib Sameh A
Emory University, Atlanta, Georgia.
Foot Ankle Spec. 2017 Oct;10(5):465-469. doi: 10.1177/1938640016685148. Epub 2017 Jan 9.
The talus is the second most common fractured tarsal bone. While their incidence may be low, talus fractures are severe injuries that can lead to long-term disability and pain. Displaced talar body fractures are typically treated through an open approach with the aim of obtaining anatomic reduction and stable fixation. There are several case reports in the literature demonstrating successful management of talus fractures arthroscopically. An arthroscopic approach minimizes soft tissue trauma, which can help decrease postoperative wound complications and infections. In this article, the authors describe a surgical technique of an arthroscopic reduction and internal fixation of a comminuted posterior talar body fracture. Compared with an open posterior approach with or without osteotomies, an arthroscopic technique improved visualization and allowed precise reduction and fixation.
Level V: Case report.
距骨是第二常见的跗骨骨折部位。虽然其发生率可能较低，但距骨骨折是严重损伤，可导致长期残疾和疼痛。移位的距骨体骨折通常通过开放手术治疗，目的是实现解剖复位和稳定固定。文献中有几例病例报告显示，关节镜下成功治疗了距骨骨折。关节镜手术可将软组织创伤降至最低，有助于减少术后伤口并发症和感染。在本文中，作者描述了一种关节镜下复位和内固定粉碎性距骨后体骨折的手术技术。与采用或不采用截骨术的开放后入路相比，关节镜技术改善了视野，能够实现精确复位和固定。
V级：病例报告。
