孤立的内侧距下脱位:早期活动的重要性

Supreeth Nekkanti, A. Siddartha, P. Tushar
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摘要

背景与目的:孤立性距下脱位是一种罕见的损伤。目前的研究报道,受伤后需要5或6周的固定。本研究的目的是了解4周固定对孤立性距下内侧脱位后足功能恢复的影响。对象和方法:我们报告了一例罕见的孤立性距下内侧脱位的男性患者,他在麻醉下闭合复位后仅固定了4周。患者进行了足部和脚踝的早期活动。本报告是在印度Jagadguru Sri Shivarathreeshwara医院机构审查委员会批准后提交的。结果:患者在麻醉下行闭合复位手术,手术成功。随访6个月,患者足部功能恢复良好。随访1年,足部功能基本正常。结论:早期闭合复位和早期活动足、踝关节可保证良好的功能预后。
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Isolated medial subtalar dislocation: the importance of early mobilization
Background and objective: Isolated subtalar dislocations are rare injuries. Current studies have reported that it requires 5 or 6 weeks immobilization after the injury. The purpose of this study was to understand the effect of 4-week immobilization on the recovery of foot function after isolated medial subtalar dislocation. Subject and methods: We reported a rare case of an isolated medial subtalar dislocation in a male who was immobilized for only 4 weeks after closed reduction under anesthesia. The patient underwent early mobilization of the feet and ankles. This report has been submitted after due approval from the Institutional Review Board of Jagadguru Sri Shivarathreeshwara Hospital, India. Results: The patient was successfully managed by closed reduction under anesthesia. The foot function of the patient recovered well at 6 months of follow-up. The results of 1-year follow-up showed that the foot function was basically normal. Conclusion: Early closed reduction and early mobilization of the foot and ankle ensured the good functional outcome.
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