摘要
距骨骨折是一种比较少见的损伤,手术治疗距骨骨折的指征是距骨颈或距骨体骨折移位明显,其目的是使骨折部位达到解剖复位。距骨解剖结构特殊,表面大部分被关节面所覆盖,所以损伤常累及关节面,因此治疗难度较高且骨折术后并发症发生率高,容易发生缺血性坏死及创伤性关节炎。我们以距骨的解剖结构为基础,综述了目前距骨骨折及其并发症最新的治疗方法、不同治疗方法的优缺点及存在的问题。
Talus fracture is a relatively rare injury.The indication of surgical treatment of talus fracture is the obvious displacement of talus neck or talus body fracture,the purpose of which is to achieve anatomical reduction of the fracture site.The anatomical structure of talus is special,most of its surface is covered by the articular surface,so the injury often involves the articular surface,so the treatment is difficult and the incidence of complications after fracture operation is high,which is prone to ischemic necrosis and traumatic arthritis.Based on the anatomical structure of talus,we reviewed the latest treatment methods of talus fracture and its complications,the advantages and disadvantages of different treatment methods and the existing problems.
作者
丁磊
韩树峰
贾二龙
陈锦涛
刘畅
Ding Lei;Han Shufeng;Jia Erlong;Chen Jintao;Liu Chang(Shanxi Medical University,Taiyuan 030001,China;Department of Orthopaedics,First hospital of Shanxi Medical University,Taiyuan 030001,China)
出处
《中国综合临床》
2020年第2期189-192,共4页
Clinical Medicine of China
关键词
骨折
距骨
缺血坏死
治疗
Fracture
Talus
Ischemic necrosis
Treament