Marsh J L, Saltzman C L, Iverson M, Shapiro D S
Department of Orthopaedics, University of Iowa Hospitals and Clinics, Iowa City 52242, USA.
J Orthop Trauma. 1995;9(5):371-6. doi: 10.1097/00005131-199505000-00002.
Seventeen patients with 18 open talar fracture-dislocations or total dislocations of the talus were reviewed to determine the functional outcome and incidence of infection. Seven of 18 feet (38%) developed infection. Infection was associated with extrusion of the talar body through the open wound (p < 0.025). Final follow-up was achieved in 13 of 17 patients (14 of 18 feet) at an average of 7 years and 4 months after injury. According to the Boston Children's Hospital ankle grading system, the overall results were considered excellent in one, good in five, fair in two, and failures in six feet. The data suggest a greater proportion of failures in the infected group compared with the non-infected group (p = 0.05).
回顾了17例患有18处开放性距骨骨折脱位或距骨完全脱位的患者，以确定其功能结果和感染发生率。18只足中有7只（38%）发生感染。感染与距骨体经开放性伤口挤出有关（p<0.025）。17例患者中的13例（18只足中的14只）在受伤后平均7年4个月时获得了最终随访。根据波士顿儿童医院踝关节评分系统，总体结果为1只足优，5只足良，2只足中，6只足差。数据表明，与未感染组相比，感染组的差的比例更高（p = 0.05）。
