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用于开放性距下关节脱位后距骨挤压伤的Masquelet技术——病例报告

The Masquelet technique in an extruded talus injury after open peri-talar dislocation-A case report.

作者信息

Kasha Srinivas, Yalamanchili Ranjith Kumar

机构信息

Consultant Orthopaedic Surgeon, Krishna Institute of Medical Sciences, Minister Road, Secunderabad, Telangana, India.

Assistant Professor Orthopaedics, ESIC Medical College, Sanathnagar, Hyderabad, Telangana, India.

出版信息

Trauma Case Rep. 2021 Nov 23;36:100559. doi: 10.1016/j.tcr.2021.100559. eCollection 2021 Dec.

Abstract

Extruded talus is a rare injury pattern that occurs following a high velocity injury loading on a supinated and plantar flexed foot. Treatment for such rare presentation varies from talectomy to arthrodesis. Reimplantation than excision has been favoured in literature, but it carries its own subset of issues to tackle from avascular necrosis to infection. Masquelet technique has been a saviour for open injuries most of the time in tackling both bone defects and infections. We present a case of open ankle injury with talar extrusion and assosciated talar bone loss along with calcaneum fracture, treated by masquelet technique.

摘要

距骨挤压伤是一种罕见的损伤类型,发生于足旋后和跖屈位时的高速损伤负荷之后。对于这种罕见表现的治疗方法从距骨切除到关节融合不等。文献中更倾向于再植而非切除,但它也有自身一系列需要解决的问题,从缺血性坏死到感染。在处理骨缺损和感染方面,Masquelet技术在大多数情况下一直是开放性损伤的救星。我们报告一例开放性踝关节损伤伴距骨挤压伤、相关距骨骨质丢失以及跟骨骨折,采用Masquelet技术进行治疗。

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