Kuner E H, Lindenmaier H L
Unfallchirurgie. 1983 Feb;9(1):35-40.
It is useful to subdivide talus fractures in central and peripheric ones, as serious complications have to be expected only in the first group. Under 207 central talus fractures the feared talus necrosis has been found after operative treatment as well of collum as of corpus-trochlea fractures in about 21% of the cases, after conservative treatment in 11 respectively 19%, while posttraumatic arthrosis appears in over 50% (talus fractures with side injuries). The isolated central talus fracture has a better prognosis. The earlier the exact anatomical reposition is realized, the better are the results. Open talus fractures are threatened by infection. The so called central talus fractures--open or closed--are surgical emergency cases and so they have to be treated.
将距骨骨折细分为中央型和周围型是有用的，因为只有第一组骨折会出现严重并发症。在207例中央型距骨骨折中，经手术治疗的颈骨折和体-滑车骨折后，约21%的病例出现了令人担忧的距骨坏死，保守治疗后分别为11%和19%，而创伤后关节炎在超过50%的病例中出现（伴有侧方损伤的距骨骨折）。孤立的中央型距骨骨折预后较好。确切的解剖复位实现得越早，结果越好。开放性距骨骨折有感染风险。所谓的中央型距骨骨折——无论是开放性还是闭合性——都是外科急症，因此必须进行治疗。
