Orthopedic Surgery, Prisma Health Upstate, Greenville, South Carolina, USA
Orthopedic Surgery, Prisma Health Upstate, Greenville, South Carolina, USA.
BMJ Case Rep. 2024 Feb 29;17(2):e259005. doi: 10.1136/bcr-2023-259005.
A woman in her 40s was involved in a motor vehicle collision and sustained a closed Hawkins type IV talar neck fracture dislocation. The injury was treated with reduction, percutaneous pinning and spanning external fixation, followed by definitive treatment with total talus arthroplasty (TTA) 2 months following injury. This is a unique example of definitive management for a severe talar neck fracture dislocation with arthroplasty in the subacute setting. TTA is perhaps a primary option for these injuries at high risk for avascular necrosis, non-union, malunion and post-traumatic arthritis.
一位 40 多岁的女性发生机动车碰撞事故，导致闭合性 Hawkins Ⅳ型距骨颈骨折脱位。该损伤经复位、经皮穿针固定和跨距外固定治疗，伤后 2 个月行全距骨关节成形术（TTA）确定性治疗。这是一例亚急性期严重距骨颈骨折脱位行关节成形术确定性治疗的独特案例。对于那些有发生缺血性坏死、不愈合、畸形愈合和创伤性关节炎高风险的患者，TTA 可能是这些损伤的主要治疗选择。
