Herzog Jessica L, Blue Kevin J, Hahn David B, Paden Matthew H, Stone Paul A
Third-Year Resident, Highlands Presbyterian St. Luke's Podiatric Medicine and Surgery Residency Program, Denver, CO.
Surgeon, Department of Orthopedic Surgery, Presbyterian/St. Luke's Denver Medical Center, Denver, CO.
J Foot Ankle Surg. 2017 Nov-Dec;56(6):1298-1304. doi: 10.1053/j.jfas.2017.05.004.
Fracture-dislocations of the talus are one of the most complex injuries involving the foot and ankle. These injuries are often accompanied by additional traumatic orthopedic injuries, avascular necrosis, and infection. When approaching limb reconstruction and salvage, the overall prognosis and functionality of the limb are key factors to consider. In the present report, we draw attention to the importance of a multidisciplinary team approach for formulating a treatment plan that incorporates the talar injury and associated injuries or pathologic features. We also reviewed the published data related to avascular necrosis of the talus, open talar fracture management, and treatment outcomes.
距骨骨折脱位是涉及足踝部最复杂的损伤之一。这些损伤常伴有其他创伤性骨科损伤、缺血性坏死和感染。在进行肢体重建和挽救时，肢体的整体预后和功能是需要考虑的关键因素。在本报告中，我们提请注意多学科团队方法对于制定包含距骨损伤及相关损伤或病理特征的治疗计划的重要性。我们还回顾了与距骨缺血性坏死、开放性距骨骨折处理及治疗结果相关的已发表数据。
