距骨骨折的处理。

Clinics in podiatric medicine and surgery Pub Date : 2024-07-01 Epub Date: 2024-02-18 DOI:10.1016/j.cpm.2024.01.005
Graham A Hamilton, Matthew D Doyle, Chandler J Ligas
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引用次数: 0

摘要

距骨骨折是改变人生的大事。距骨对正常步态至关重要。鉴于其重要性,在诊断和治疗这些损伤时需要非常谨慎。手术治疗和精确解剖复位的门槛应该很低。手术原则包括避免广泛的骨膜下剥离,以尽量减少血管破坏。距骨损伤的并发症非常广泛,包括血管性坏死(AVN)。虽然无血管性坏死可能是这种损伤的破坏性后遗症,但其发生率低于创伤后关节炎。
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Management of Talus Fractures.

Fractures of the talus are life-changing events. The talus is of vital importance to normal gait. Given its importance, great care is needed in diagnosing and treating these injuries. The threshold for operative treatment and accurate anatomic reduction should be low. Surgical tenets include the avoidance of extensive subperiosteal dissection to minimize vascular disruption. The complications with injuries to the talus are extensive and include avascular necrosis (AVN). Although AVN can prove to be a devastating sequela from this injury, it occurs less frequently than posttraumatic arthritis.

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