Orthopedic Surgery, Highland Hospital, Oakland, CA; and.
Trauma Services, Sutter Roseville Medical Center, Roseville, CA.
J Orthop Trauma. 2021 Aug 1;35(Suppl 2):S56-S57. doi: 10.1097/BOT.0000000000002168.
Talar neck fractures are uncommon fractures that result from high-energy trauma causing bony and soft tissue injury. When combined with sustentaculum fractures, care must be taken to plan the approach and fracture fixation strategy. We present a 57-year-old woman who experienced a motor vehicle accident, sustaining a Hawkins II talar neck fracture with associated sustentaculum tali fracture. We demonstrate the dual-incision approach to the talar neck with medial screw and lateral plate fixation. The sustentaculum fixation was accomplished with cannulated screws through a direct medial approach.
距骨颈骨折是一种不常见的骨折，通常由高能创伤引起，导致骨和软组织损伤。当合并距骨颈骨折时，必须小心计划手术入路和骨折固定策略。我们介绍了一位 57 岁女性，她因车祸导致 Hawkins II 型距骨颈骨折，同时伴有距骨颈骨折。我们展示了一种经双切口入路治疗距骨颈骨折的方法，采用内侧螺钉和外侧钢板固定。距骨颈骨折的固定是通过直接内侧入路使用空心螺钉完成的。
