Spatt J F, Frank N G, Fox I M
J Foot Surg. 1986 Jan-Feb;25(1):68-72.
Osteochondritis dissecans of the talus is a well documented entity, defined as a transchondral fracture of the dome of the talus. As a fracture, it should heal with immobilization; however, this lesion often causes severe disability and, more often than not, the fragment will not unite with conservative treatment. There is much debate concerning operative versus nonoperative treatment, and the purpose of this paper is to discuss the salient points of the controversy, review literature on the subject, and present a case with a follow-up of 4.5 years.
距骨剥脱性骨软骨炎是一种有充分文献记载的病症，定义为距骨穹窿的经软骨骨折。作为一种骨折，通过固定应该能够愈合；然而，这种损伤常常导致严重残疾，而且在保守治疗下，碎片往往无法愈合。关于手术治疗与非手术治疗存在很多争议，本文的目的是讨论争议的要点，回顾该主题的文献，并呈现一个随访4.5年的病例。
