Schöntag H, Langendorff H U, Mommsen U, Knop J
Zentralbl Chir. 1984;109(22):1436-40.
A follow-up study concerning arthrotic, ischemic and functional results was performed in 20 patients with subtalar luxations over an average of 13 years after the initial trauma. 13 patients showed good, 7 poor results according to Weber. 4 of these 7 patients were free of any complaints but showed reasonable arthrosis in both ankle joints as well as pathological scintigrams. Three cases operated upon showed poor functional results, two of them were primarily open, in one case the tendon of m. tibialis post. forced us to reduct openly. The best results could be obtained by immediate reduction and conservative treatment.
对20例距下关节脱位患者在初次创伤后平均13年进行了一项关于关节、缺血和功能结果的随访研究。根据韦伯标准,13例患者结果良好,7例结果较差。这7例患者中有4例无任何主诉,但双踝关节均有明显关节病以及闪烁扫描异常。3例接受手术的患者功能结果较差,其中2例为一期开放性手术,1例因胫后肌腱问题被迫进行开放性复位。通过立即复位和保守治疗可获得最佳结果。