Department of Orthopaedics and Rehabilitation, University of Rochester, Rochester, NY.
J Orthop Trauma. 2018 Aug;32(8):e334-e338. doi: 10.1097/BOT.0000000000001178.
Talar head fractures represent a rare subtype of injury to the talus. Clinical series of talar head fractures are nonexistent in the current literature, and treatment of these injuries is based on expert opinion. Many authors recommend a single-incision approach to open reduction and internal fixation of talar head fractures; however, we have found that a 2-incision approach allows for optimal visualization while facilitating proper implant placement. We present a description of our technique and our clinical experience treating 8 of these rare injuries.
距骨头部骨折是距骨的一种罕见损伤类型。目前文献中尚无距骨头部骨折的临床系列报道,这些损伤的治疗主要基于专家意见。许多作者建议采用单一入路切开复位内固定治疗距骨头部骨折;然而,我们发现双入路可提供最佳的可视化效果,同时有利于正确放置植入物。我们介绍了我们的技术,并报告了治疗 8 例此类罕见损伤的临床经验。