Instr Course Lect. 2023;72:517-541.
Talar fractures and pantalar dislocations are usually the results of high-energy trauma. Dislocations and open injuries are managed urgently. Temporary stabilization with splinting, Kirschner wires, or external fixation may be performed until the soft tissues are ready for definitive fixation. A CT scan is critical to identify all injuries and is helpful in planning treatment including reduction of dislocations and definitive fixation. Lateral and posterior process fractures are often missed initially and require a high index of suspicion.
距骨骨折和距下关节脱位通常是高能创伤的结果。对于脱位和开放性损伤，应紧急进行处理。在软组织准备好进行确定性固定之前，可以通过夹板、克氏针或外固定来进行临时稳定。CT 扫描对于确定所有损伤非常重要，有助于制定治疗计划，包括脱位的复位和确定性固定。外侧和后突骨折最初常常被漏诊，需要高度怀疑。
