Faupel L, Kunze K, Kaps P
Unfallchirurgie. 1985 Feb;11(1):37-42. doi: 10.1007/BF02587926.
Due to function and anatomy the talus plays a special part among the tarsal bones. The extended joint surfaces cause a high rate of arthrosis in fractures, the difficult blood supply leads very often to a disturbance of the supply of the talus in the case of vulneration. Fractures are divided in central and peripheral forms which could be caused either by simple or compound fracture mechanism. The computed tomography offers precious informations in the diagnosis of talus vulnerations. Besides the conservative therapy of peripheral fractures there is the operative treatment of central fracture forms. Infection, arthrosis and necrosis of the talus are to be mentioned especially as postoperative complications.
由于功能和解剖结构的原因，距骨在跗骨中起着特殊的作用。关节面扩展导致骨折时关节病发生率较高，血供困难常常导致距骨在受伤时血供紊乱。骨折分为中央型和周围型，可由单纯或复合骨折机制引起。计算机断层扫描在距骨损伤的诊断中提供了宝贵的信息。除了周围型骨折的保守治疗外，还有中央型骨折的手术治疗。距骨感染、关节病和坏死尤其要作为术后并发症提及。
