距骨开放性骨折脱位伴几乎完全脱出及三踝骨折：一例报告及文献综述
Open fracture dislocation of the talus with nearly total extrusion and with tri-malleolar fracture: A case report and literature review.
作者信息
Chang Yu-Jui, Hsu Chi-Hsiang, Yen Yuan-Hao, Chen Jen-Hung, Hsu Shan-Ling
机构信息
Department of Orthopaedic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
出版信息
Medicine (Baltimore). 2025 Aug 15;104(33):e43827. doi: 10.1097/MD.0000000000043827.
RATIONALE
Open talus fracture with extrusion is a rare condition of trauma. We report a 5-year follow-up of an open talus fracture with extrusion associated with a tri-malleolar fracture that was successfully treated with reimplantation and fixation.
PATIENT CONCERNS
We report the case of a 73-year-old female with a diagnosis of left foot open talus fracture with extrusion. She also presented with an ipsilateral ankle tri-malleolar fracture.
DIAGNOSES
Open talus fracture with extrusion and associated with a tri-malleolar fracture.
INTERVENTIONS
Surgery with reimplantation and fixation.
OUTCOMES
The extruded talus was reduced, and the fracture healed approximately 9 months after the operation. There were no adverse effects at the 5-year follow-up point. The patient showed excellent performance, and no obvious sequelae were found.
LESSONS
To the best of our knowledge, this is the first report of an open talus fracture with extrusion associated with a tri-malleolar fracture.
理论依据
开放性距骨骨折伴骨块挤出是一种罕见的创伤情况。我们报告一例开放性距骨骨折伴骨块挤出合并三踝骨折患者的5年随访情况，该患者通过再植和固定治疗成功。
患者情况
我们报告一例73岁女性患者，诊断为左足开放性距骨骨折伴骨块挤出。她还伴有同侧踝关节三踝骨折。
诊断
开放性距骨骨折伴骨块挤出并合并三踝骨折。
干预措施
进行再植和固定手术。
结果
挤出的距骨复位，骨折在术后约9个月愈合。在5年随访时无不良反应。患者表现良好，未发现明显后遗症。
经验教训
据我们所知，这是首例开放性距骨骨折伴骨块挤出合并三踝骨折的报告。
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