Issaoui Hichem, Fekhaoui Mohammed-Reda, Abbassi Hatem, Gargouri Mahdi, Ali Mazen
Department of Orthopedic Surgery and Trauma, Regional Hospital Center of Orleans, Orleans, FRA.
Department of Trauma and Orthopedic Surgery, Ibn Sina University Hospital, Faculty of Medicine, Mohammed V University of Rabat, Rabat, MAR.
Cureus. 2020 Aug 12;12(8):e9678. doi: 10.7759/cureus.9678.
Total traumatic extrusion of the talus is a severe and disabling ankle injury that requires a high energy trauma. Many treatment options exist and none of them guarantee a successful result. Here, we present the case of a 67-year-old woman who experienced an open total traumatic extrusion of the talus. Based on the principles of open fracture management, we have realized an early administration of antibiotics and tetanus toxoid booster followed by an urgent debridement of the wound. Next, the talus was reimplanted and fixed with a K-wire. This allowed us to avoid the common complication and achieving good clinical outcomes. In our opinion, this is an encouraging and reasonable treatment option unless the talus is grossly contaminated or missing.
距骨完全创伤性脱位是一种严重且致残的踝关节损伤，需要高能量创伤。存在多种治疗选择，但没有一种能保证成功的结果。在此，我们报告一例67岁女性发生开放性距骨完全创伤性脱位的病例。基于开放性骨折处理原则，我们早期使用了抗生素和破伤风类毒素加强剂，随后对伤口进行了紧急清创。接下来，将距骨重新植入并用克氏针固定。这使我们避免了常见并发症并取得了良好的临床效果。我们认为，除非距骨严重污染或缺失，这是一种令人鼓舞且合理的治疗选择。
