Hood Christopher Robin, Miller Jason Roy, Hollinger Josuha Kevin
Fellowship-Trained Foot and Ankle Surgeon, Premier Orthopaedics and Sports Medicine, Malvern, PA.
Fellowship Director, Department of Foot and Ankle Surgery, Premier Orthopaedics and Sports Medicine, Malvern, PA; Residency Director, Podiatric Medicine and Surgery Residency/Reconstructive Rearfoot Ankle Surgery, Phoenixville Hospital, Phoenixville, PA.
J Foot Ankle Surg. 2018 Jan-Feb;57(1):131-139. doi: 10.1053/j.jfas.2017.07.008. Epub 2017 Aug 23.
Talar fractures account for <1% of all fractures in the body and 3% to 6% of pedal fractures. Of these fractures, avulsion and neck fractures represent the most and second most common type, respectively. Several classification systems exist for talar fractures of the talar dome (Berndt-Hardy), talar neck dislocation (Hawkins), and talar body (Sneppen) anatomic locations. Although diverse, they are not all encompassing for fracture patterns of the talus. Another set of pathologic issues occur about the talar head and neck region that can be seen in the clinical setting. Thus, a new classification system (Malvern classification system for talar head/neck fractures) was devised and defined for this location. The system represents a comprehensive review of the available published data and synthesis into an organized classification system.
距骨骨折占全身骨折的比例不到1%，占足部骨折的3%至6%。在这些骨折中，撕脱骨折和颈部骨折分别是最常见和第二常见的类型。对于距骨穹窿部（伯恩特-哈迪）、距骨颈脱位（霍金斯）和距骨体（斯内彭）等解剖部位的距骨骨折，存在多种分类系统。尽管这些分类系统多种多样，但它们并不能涵盖距骨的所有骨折类型。在临床环境中，距骨头和颈部区域还会出现另一组病理问题。因此，针对该部位设计并定义了一种新的分类系统（距骨头/颈部骨折的马尔文分类系统）。该系统对现有的已发表数据进行了全面回顾，并综合成一个有组织的分类系统。
