Vosoughi Amir Reza, Emami Mohammad Jafar
Bone and Joint Diseases Research Center, Department of Orthopedics Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.
Bull Emerg Trauma. 2019 Oct;7(4):411-415. doi: 10.29252/beat-070411.
Transcalcaneal talonavicular fracture dislocation is an extremely rare debilitating injury with high complication rates. The present case report demonstrates highly comminuted joint-depressed fracture of left calcaneus treated with primary subtalar arthrodesis following reduction and fixation of the calcaneus. The right ankle sustained a highly comminuted fracture of calcaneal body with completely-destroyed posterior facet, fracture dislocation of the calcaneocuboid joint, dorsally dislocated talonavicular joint, fracture of anterior of tibial plafond, and subluxation of the tibiotalar joint. At first, talonavicular joint was reduced and fixed using a plate followed by reduction of calcaneus and arthrodesis of subtalar and calcaneocuboid joints. The plate of talonavicular joint was removed after 70 days. Logical approach to this injury can lead to an acceptable function.
经跟骨距舟骨折脱位是一种极其罕见的致残性损伤，并发症发生率很高。本病例报告展示了一例左侧跟骨高度粉碎性关节压缩骨折，在跟骨复位固定后行一期距下关节融合术。右侧踝关节为跟骨体高度粉碎性骨折，后关节面完全破坏，跟骰关节骨折脱位，距舟关节背侧脱位，胫距关节半脱位，胫骨平台前缘骨折。最初，先使用钢板对距舟关节进行复位固定，随后对跟骨进行复位，并对距下关节和跟骰关节进行融合。70天后取出距舟关节的钢板。对该损伤采取合理的治疗方法可获得可接受的功能恢复。
