Draijer F, Havemann D, Bielstein D
Klinik für Unfallchirurgie, Christian-Albrechts-Universität Kiel.
Unfallchirurg. 1995 Mar;98(3):130-2.
Fractures of the talus are very rare in children. The present paper analyzes the treatment and long-term follow-up of 11 talus fractures in children over a period of 20 years (1974-1994). There were 5 fractures of the talus neck, 3 flake fractures, 1 depressed fracture of the talus head, and 2 lesions at the trochlea of the talus. Two fractures not previously described in the literature are presented. Treatment was conservative in all nondisplaced fractures. The displaced lesions were treated by compression screws and K-wire fixation of articular surface fractures. In 9 of the 11 fractures healing with good functional results, though arthrosis of the talocalcanean joint was present in 6 and partial necrosis of the talus, in 2. There is no difference between children and adults in the diagnosis and selection for operative treatment.
距骨骨折在儿童中非常罕见。本文分析了20年间（1974 - 1994年）11例儿童距骨骨折的治疗及长期随访情况。其中距骨颈骨折5例，片状骨折3例，距骨头凹陷骨折1例，距骨滑车病变2例。本文还介绍了2例文献中未曾描述过的骨折。所有无移位骨折均采用保守治疗。移位病变采用加压螺钉及克氏针固定关节面骨折。11例骨折中有9例愈合，功能恢复良好，尽管6例存在距下关节骨关节炎，2例有距骨部分坏死。儿童与成人在诊断及手术治疗选择上并无差异。
