Galanopoulos Ioannis P, Sellina Dimitra, Drakopoulos Panagiotis, Psarakis Spyridon A
Orthopaedics, Thriasio General Hospital of Elefsina, Athens, GRC.
Laboratory for the Research of the Musculoskeletal System, KAT Hospital, University of Athens, Athens, GRC.
Cureus. 2024 Jan 13;16(1):e52206. doi: 10.7759/cureus.52206. eCollection 2024 Jan.
Although talar fractures are frequent bone injuries, fracture displacements of the talar neck are rare, and they can lead to under-treatment and poor prognosis. Furthermore, maltreatment of the talar fractures leads to complications such as malunion (which is the most common), nonunion, osteonecrosis and hindfoot arthritis, which can cause significant disability. The most common position of the talar neck malunion is the varus malunion. Alternative treatments include open reduction with or without bone grafting, open reduction combined with ankle fusion, talar neck osteotomy and talar neck osteotomy combined with subtalar fusion. However, the outcomes of foot function after corrective arthrodesis are poor. In this paper, we present a patient who underwent an open wedge corrective osteotomy of the talus for a cavovarus deformity developed after a malunion of a comminuted talar neck fracture. The patient walked normally three months postoperatively.
尽管距骨骨折是常见的骨损伤，但距骨颈骨折移位很少见，且可能导致治疗不足和预后不良。此外，距骨骨折治疗不当会导致诸如畸形愈合（最常见）、不愈合、骨坏死和后足关节炎等并发症，这些并发症会导致严重残疾。距骨颈畸形愈合最常见的位置是内翻畸形愈合。替代治疗方法包括有或无植骨的切开复位、切开复位联合踝关节融合、距骨颈截骨术以及距骨颈截骨术联合距下关节融合。然而，矫正性关节融合术后足部功能的结果较差。在本文中，我们介绍了一名患者，该患者因粉碎性距骨颈骨折畸形愈合后出现的高弓内翻畸形接受了距骨开放楔形矫正截骨术。患者术后三个月行走正常。
