Ebraheim N A, Padanilam T G, Wong F Y
Department of Orthopaedic Surgery, Medical College of Ohio, Toledo 43699, USA.
Foot Ankle Int. 1995 Nov;16(11):734-9. doi: 10.1177/107110079501601112.
In this report, we present the diagnosis and clinical outcome of four patients with fractures of the posteromedial process of the talus. In two patients, the posteromedial process fracture was missed initially, which led to painful nonunions. One patient was treated with excision of a nonunion, and the other patient with a nonunion refused further surgery. Two patients underwent ORIF through a posteromedial approach. CT scans were useful in defining the fracture in all four patients. Cast treatment was recommended for displaced fractures or fractures without significant subtalar joint involvement. ORIF was recommended for displaced fractures with significant subtalar joint involvement.
在本报告中，我们介绍了4例距骨后内侧突骨折患者的诊断及临床结果。2例患者最初漏诊了后内侧突骨折，导致疼痛性骨不连。1例骨不连患者接受了骨不连切除治疗，另1例骨不连患者拒绝进一步手术。2例患者通过后内侧入路接受切开复位内固定术（ORIF）。CT扫描对所有4例患者的骨折诊断均有帮助。对于移位骨折或未累及距下关节的骨折，建议采用石膏固定治疗。对于累及距下关节的移位骨折，建议采用切开复位内固定术。
