Balázsy S, Kazár G, Nagy E, Nyáry T
Magy Traumatol Orthop Helyreallito Seb. 1979;22(2):87-94.
Analysing 17 cases of navicular fracture, authors divide the fracture dislocations in two groups. The importance of X-ray pictures in oblique views and the frequent occurence of simultaneous foot injuries is pointed out. On follow up examination of 13 fractures 3--8 years after injury authors observed in general severe arthritis, subjective impressions of the patients and the results of rehabilitation on the other hand were satisfactory. Their result suggest in cases of dorso-medial dislocation, in order to avoid redislocation, a wire pinning or open screw fixation or rather as an exception primary desis. In cases of lateral dislocation the fracture is not prone to redislocation therefor a conservative treatment is sufficient.
通过分析17例舟骨骨折病例,作者将骨折脱位分为两组。指出了斜位X线片的重要性以及足部同时受伤的频繁发生。在对13例骨折患者伤后3至8年的随访检查中,作者总体观察到严重的关节炎,另一方面患者的主观感受和康复结果令人满意。他们的结果表明,对于背内侧脱位的病例,为避免再次脱位,可采用钢丝内固定或开放螺钉固定,或者作为例外采用一期关节融合术。对于外侧脱位的病例,骨折不易再次脱位,因此保守治疗就足够了。