摘要
本文作者报告了２８例重度距骨骨折脱位和１７例距骨周围脱位的治疗结果。分别平均随访为７年及２年５个月。作者比较了重度距骨骨折脱位的复位固定，距骨切除和关节融合三种方法的治疗结果，认为关节融合疗效确实可靠，应作为首选的治疗方法。距骨周围脱位在关节内有骨折碎块或有软组织嵌压时常是切开复位的适应证。创伤的严重性，合并关节内骨折和开放性损伤常是影响预后的因素。与重度距骨骨折脱位不同，该组病例无缺血坏死发生。
AbstractTwenty-eight cases with severe talus fracture-dis-location and 17 cases with peritalus dislocations weretreated and were followed up with an average of 7years and 2 years plus 5 months for these two groupsrespectively. Comparison of the results of treatment inthe cases with severe talus fracture-dislocations with 3different methods (reduction and immobilization,totaltalus resection and arthrodesis)was made,Satisfacto-ry result was obtained only in cases treated witharthrodesis,therefore,this method should be consid-ered at first in the treatment of severe talus fracture-dislocations,Impaction of intraarticular fragments andsoft tissues are usually the indications of open reduc-tion for peritalus dislocations. Severity of injury ac-companied with intraarticular fractures, and Open in-jury are the factors influencing the prognosis.Differentfrom severe talus frcture-dislocations,talus avascularnecrosis did not occur in cases with peritalus disloca-tions.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1994年第4期213-214,共2页
Chinese Journal of Surgery
