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罕见类型距骨骨折的治疗：一例报告

Management of Rarest Type of Talus Fracture: A Case Report.

作者信息

S Aswin, R Madhan, Naidu Dilip Kumar, Dhas Kevin, N Gowthaman

机构信息

Orthopedic Surgery, SRM Medical College Hospital and Research Centre, Chennai, IND.

出版信息

Cureus. 2024 Sep 6;16(9):e68830. doi: 10.7759/cureus.68830. eCollection 2024 Sep.

DOI:10.7759/cureus.68830
PMID:39376823
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11458062/
Abstract

This is a case of the rarest type of talus fracture in a 28-year-old male who presented with pain in his right ankle and foot following a road traffic accident. He was unable to bear weight or walk after the injury. Imaging studies indicated fractures in the head and neck of the talus, as well as the talar dome, with a fracture line extending into the subtalar joint. The patient underwent open reduction and internal fixation using mini fragment plating and Herbert screw fixation for the osteochondral fragment. Both the intraoperative and postoperative periods were without complications. The patient was placed in plaster of Paris (POP) slab immobilization for four weeks and was advised to avoid weight-bearing while using a walker for eight weeks, after which physiotherapy commenced. Follow-up assessments showed satisfactory fracture union, good range of motion in the ankle, an excellent American Orthopedic Foot and Ankle Society (AOFAS) score, an excellent 17-Italian Foot Function Index (FFI) score, and a good Hawkins score.

摘要

这是一例28岁男性的距骨骨折罕见病例，该患者在道路交通事故后出现右踝和足部疼痛。受伤后他无法负重或行走。影像学检查显示距骨头颈部以及距骨穹窿骨折，骨折线延伸至距下关节。患者接受了切开复位内固定术，使用微型接骨板和Herbert螺钉固定骨软骨碎片。术中和术后均无并发症。患者用巴黎石膏（POP）板固定四周，并建议在使用助行器八周期间避免负重，之后开始进行物理治疗。随访评估显示骨折愈合良好，踝关节活动范围良好，美国矫形足踝协会（AOFAS）评分优异，意大利足功能指数（FFI）评分为17分，Hawkins评分良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/7d51a7e30d4f/cureus-0016-00000068830-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/81ab483a836f/cureus-0016-00000068830-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/81c56a8ee594/cureus-0016-00000068830-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/16575041f64d/cureus-0016-00000068830-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/584a7654fb3a/cureus-0016-00000068830-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/1ea48708ae0a/cureus-0016-00000068830-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/723e91b291b6/cureus-0016-00000068830-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/7f7174847df2/cureus-0016-00000068830-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/aa8dc919715a/cureus-0016-00000068830-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/aa25af75056f/cureus-0016-00000068830-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/fb6d5266cf02/cureus-0016-00000068830-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/7d51a7e30d4f/cureus-0016-00000068830-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/81ab483a836f/cureus-0016-00000068830-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/81c56a8ee594/cureus-0016-00000068830-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/16575041f64d/cureus-0016-00000068830-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/584a7654fb3a/cureus-0016-00000068830-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/1ea48708ae0a/cureus-0016-00000068830-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/723e91b291b6/cureus-0016-00000068830-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/7f7174847df2/cureus-0016-00000068830-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/aa8dc919715a/cureus-0016-00000068830-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/aa25af75056f/cureus-0016-00000068830-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/fb6d5266cf02/cureus-0016-00000068830-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b269/11458062/7d51a7e30d4f/cureus-0016-00000068830-i11.jpg

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本文引用的文献

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The completely patient-reported version of the American Orthopaedic Foot and Ankle Society (AOFAS) score: A valid and reliable measurement for ankle osteoarthritis.美国矫形足踝协会（AOFAS）评分的完全患者报告版本：踝关节骨关节炎的有效且可靠的测量方法。
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