Zakaria Shukriah Aqilah, Mat Rodi Mohd Saiful Adzuwan
Department of Orthopaedics, Traumatology and Rehabilitation, International Islamic University of Malaysia, Kuantan, 25200, Pahang, Malaysia.
Department of Orthopaedics, Hospital Sultanah Nur Zahirah, Kuala Terengganu, 20400, Terengganu, Malaysia.
Chin J Traumatol. 2023 Oct 17;26(6):339-43. doi: 10.1016/j.cjtee.2023.07.004.
Talar extrusions are the rare extreme case of talar fractures and dislocations which are associated with high-energy trauma. Given the rarity of talar extrusion, no proper treatment protocol has been established. The earlier treatment outcomes have been poor due to the high rate of infection and avascular necrosis. However, more recent literature advised reimplanting the talus whenever practical, and providing with meticulous cleaning of the talus. In the presence of infection and severe trauma, tibiocalcaneal fusion achieved by the Ilizarov external fixator can be an effective salvage method.
距骨挤压伤是距骨骨折和脱位中罕见的极端情况，与高能量创伤相关。鉴于距骨挤压伤的罕见性，尚未建立适当的治疗方案。由于感染率和缺血性坏死率高，早期治疗效果不佳。然而，最近的文献建议在实际可行的情况下重新植入距骨，并对距骨进行细致清洁。在存在感染和严重创伤的情况下，通过伊里扎洛夫外固定器实现的胫跟融合术可能是一种有效的挽救方法。
