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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.

DOI:10.1097/MD.0000000000043827
PMID:40826705
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12366919/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/dd14d0a2d981/medi-104-e43827-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/aed2bb9aa395/medi-104-e43827-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/2cf7941b2617/medi-104-e43827-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/ff74094b53f3/medi-104-e43827-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/e053eb50e0cb/medi-104-e43827-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/752d462db81e/medi-104-e43827-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/f1a8b6c51429/medi-104-e43827-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/009f89d46cfc/medi-104-e43827-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/c6f63de8df1e/medi-104-e43827-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/dd14d0a2d981/medi-104-e43827-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/aed2bb9aa395/medi-104-e43827-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/2cf7941b2617/medi-104-e43827-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/ff74094b53f3/medi-104-e43827-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/e053eb50e0cb/medi-104-e43827-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/752d462db81e/medi-104-e43827-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/f1a8b6c51429/medi-104-e43827-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/009f89d46cfc/medi-104-e43827-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/c6f63de8df1e/medi-104-e43827-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/126a/12366919/dd14d0a2d981/medi-104-e43827-g009.jpg

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本文引用的文献

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Artificial dermis combined with negative pressure wound therapy and platelet-rich plasma to treat traumatic wounds: a retrospective study.人工真皮联合负压伤口治疗及富血小板血浆治疗创伤性伤口：一项回顾性研究。
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距骨脱位：一种极为罕见的创伤后遗症——病例报告
Am J Case Rep. 2019 Apr 23;20:575-579. doi: 10.12659/AJCR.913576.
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