Mestdagh H, Duquennoy A, Claisse P R, Sensey J J, Gougeon F
Arch Orthop Trauma Surg (1978). 1982;99(3):153-9. doi: 10.1007/BF00379202.
Eighty tarsal dislocations treated between 1954 and 1979 are presented. Our of 48 cases reviewed after a mean follow-up time of 7 years, satisfactory results were achieved in 30 (62%). Osteonecrosis of the talus was not recorded whereas necrosis of the navicular developed in 5 patients. Failures are to be related to significant osteoarthritic changes which occurred after a long period particularly in compound injuries with associated fractures of the tarsal bones. Early closed reduction and immobilization in a below-knee cast for 4 weeks is recommended in pure luxation; associated fractures of the talus and navicular require surgical fixation as far as possible. Except in total open dislocation of talus or navicular replacement was by far preferred to removal and primary arthrodesis.
本文报告了1954年至1979年间治疗的80例跗骨脱位病例。在平均随访7年后复查的48例病例中，30例（62%）取得了满意的结果。未记录距骨缺血性坏死，而5例患者出现了舟骨坏死。失败与长期后出现的明显骨关节炎变化有关，尤其是在伴有跗骨骨折的复合伤中。对于单纯脱位，建议早期闭合复位并在膝下石膏固定4周；距骨和舟骨的相关骨折应尽可能进行手术固定。除距骨完全开放性脱位或舟骨完全开放性脱位外，到目前为止，置换术远比切除术和一期关节融合术更可取。
