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距骨骨折的诊断、治疗及并发症

The Diagnosis, Management and Complications Associated with Fractures of the Talus.

作者信息

J R Barnett, Ma Ahmad, W Khan, A O' Gorman

机构信息

Royal National Orthopaedic Hospital, Stanmore, Middlesex, HA7 4LP, UK.

Department of Trauma and Orthopaedics, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.

出版信息

Open Orthop J. 2017 May 31;11:460-466. doi: 10.2174/1874325001711010460. eCollection 2017.

DOI:10.2174/1874325001711010460
PMID:28694883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5481613/
Abstract

Fractures of the talus are uncommon injuries that can have devastating consequences. The blood supply to the talus is tenuous and injuries are associated with a higher incidence of avascular necrosis and malunion. Talar neck fractures are the most common fractures. This review looks at the different types of fractures of the talus, particularly focusing on talar neck fractures. The diagnosis and management are discussed as well as the complications.

摘要

距骨骨折是一种少见的损伤，但可能会产生严重后果。距骨的血供薄弱，此类损伤与缺血性坏死和畸形愈合的较高发生率相关。距骨颈骨折是最常见的骨折类型。本综述探讨距骨骨折的不同类型，尤其着重于距骨颈骨折。文中还讨论了其诊断、治疗及并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3550/5481613/7a2f1b21c01d/TOORTHJ-11-460_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3550/5481613/48ea75fba999/TOORTHJ-11-460_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3550/5481613/1617ff5769c2/TOORTHJ-11-460_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3550/5481613/7a2f1b21c01d/TOORTHJ-11-460_F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3550/5481613/48ea75fba999/TOORTHJ-11-460_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3550/5481613/1617ff5769c2/TOORTHJ-11-460_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3550/5481613/7a2f1b21c01d/TOORTHJ-11-460_F3.jpg

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New modification to the Hawkins classification scheme is more predictive of osteonecrosis: commentary on an article by Heather A. Vallier, MD, et al.: "A new look at the Hawkins classification for talar neck fractures: which features of injury and treatment are predictive of osteonecrosis?".对霍金斯分类方案的新修改对骨坏死更具预测性：对医学博士希瑟·A·瓦利尔等人所著文章《距骨颈骨折霍金斯分类新审视：损伤与治疗的哪些特征可预测骨坏死？》的评论
J Bone Joint Surg Am. 2014 Feb 5;96(3):e25. doi: 10.2106/JBJS.M.01465.
2
A new look at the Hawkins classification for talar neck fractures: which features of injury and treatment are predictive of osteonecrosis?对距骨颈骨折 Hawkins 分类的新认识：哪些损伤和治疗特征与骨坏死相关？
J Bone Joint Surg Am. 2014 Feb 5;96(3):192-7. doi: 10.2106/JBJS.L.01680.
3
Emerg Radiol. 2018 Aug;25(4):425-433. doi: 10.1007/s10140-018-1603-1. Epub 2018 Apr 4.
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AJR Am J Roentgenol. 2013 Nov;201(5):1087-92. doi: 10.2214/AJR.12.9918.
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Talar neck fractures: a systematic review of the literature.距骨颈骨折：文献系统综述
J Foot Ankle Surg. 2013 Jan-Feb;52(1):56-61. doi: 10.1053/j.jfas.2012.10.008. Epub 2012 Nov 13.
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Insufficiency and nondisplaced fractures of the talar head: MRI appearances.距骨头部骨不全和无移位骨折：MRI 表现。
AJR Am J Roentgenol. 2012 Nov;199(5):W613-7. doi: 10.2214/AJR.11.7313.
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Injuries caused by brake pedal loading of the midfoot.中足制动踏板负荷导致的损伤。
Biomed Sci Instrum. 2012;48:134-40.
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Total talar fracture - long-term results of internal fixation of talar fractures. A multicentric study of 114 cases.距骨骨折 - 距骨骨折内固定的长期结果。114 例的多中心研究。
Orthop Traumatol Surg Res. 2012 Jun;98(4 Suppl):S48-55. doi: 10.1016/j.otsr.2012.04.012. Epub 2012 May 22.
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Acta Orthop Traumatol Turc. 2010;44(5):392-6. doi: 10.3944/AOTT.2010.2328.
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