Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2010
[Analysis of diagnosis and treatment of talus lateral process fracture].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Gao Jianhua, Qu Jiafu, Yan Rongliang, Du Xiaojian, Cao Lihai, Zhao Guozhi, Wu Jun, Peng Yi, Wang Liang, Li Shaoguang, Wang Hongtao, Ma Haidong
Аннотация
OBJECTIVE: To analyse and summarize the diagnosis, treatment, and clinical effects of talus lateral process fracture.
METHODS: Between February 2001 and March 2009, 21 male patients with an average age of 33.6 years (range, 18-46 years) with talus lateral process fractures were treated. Fracture was caused by falling from height in 18 cases, by tumbling in 2 cases, and by sprain in 1 case. According to Hawkins classification, there were 4 cases of type I, 15 cases of type II, and 2 cases of type III, all being closed fractures. The disease course was from 2 hours to 26 days. In 17 patients whose fracture fragments were more than 1 cm x 1 cm x 1 cm or whose fracture fragments shifting was more than 1 mm, open reduction and internal fixation with AO hollow titanium nails were performed in 14 patients, open reduction and internal fixation with door-shape self-made nail in 1 patient, and open reduction and internal fixation with absorbable screws in 2 patients. In 4 patients whose fracture fragments were less than 0.6 cm x 0.5 cm x 0.5 cm or whose fracture fragments shifting was less than 1 mm, fragments removal was performed in 2 patients, Kirschner pins in 1 patient, and plaster conservative therapy in 1 patient. In patients with ligaments injury, the ligaments was reconstructed during the operation.
RESULTS: All the incisions achieved primary healing. Twenty-one patients were followed up 9.5 months to 8 years. No ankle pain occurred and the range of joint motion was normal after operation. The X-ray films showed that all cases achieved fracture union. And the healing time was from 8 weeks to 14 weeks (10 weeks on average). According to American Orthopaedic Foot & Ankle Society (AOFAS) for foot, the results were excellent in 17 cases, good in 3 cases, and moderate in 1 case; the excellent and good rate was 95.24%.
CONCLUSION: The size and displacement of fracture fragment should be considered first in the treatment of lateral process fracture of talus; in patients who are complicated by lateral malleolus ligament injury, the ligament should be reconstructed to avoid the chronic non-stability of lateral ankle.
METHODS: Between February 2001 and March 2009, 21 male patients with an average age of 33.6 years (range, 18-46 years) with talus lateral process fractures were treated. Fracture was caused by falling from height in 18 cases, by tumbling in 2 cases, and by sprain in 1 case. According to Hawkins classification, there were 4 cases of type I, 15 cases of type II, and 2 cases of type III, all being closed fractures. The disease course was from 2 hours to 26 days. In 17 patients whose fracture fragments were more than 1 cm x 1 cm x 1 cm or whose fracture fragments shifting was more than 1 mm, open reduction and internal fixation with AO hollow titanium nails were performed in 14 patients, open reduction and internal fixation with door-shape self-made nail in 1 patient, and open reduction and internal fixation with absorbable screws in 2 patients. In 4 patients whose fracture fragments were less than 0.6 cm x 0.5 cm x 0.5 cm or whose fracture fragments shifting was less than 1 mm, fragments removal was performed in 2 patients, Kirschner pins in 1 patient, and plaster conservative therapy in 1 patient. In patients with ligaments injury, the ligaments was reconstructed during the operation.
RESULTS: All the incisions achieved primary healing. Twenty-one patients were followed up 9.5 months to 8 years. No ankle pain occurred and the range of joint motion was normal after operation. The X-ray films showed that all cases achieved fracture union. And the healing time was from 8 weeks to 14 weeks (10 weeks on average). According to American Orthopaedic Foot & Ankle Society (AOFAS) for foot, the results were excellent in 17 cases, good in 3 cases, and moderate in 1 case; the excellent and good rate was 95.24%.
CONCLUSION: The size and displacement of fracture fragment should be considered first in the treatment of lateral process fracture of talus; in patients who are complicated by lateral malleolus ligament injury, the ligament should be reconstructed to avoid the chronic non-stability of lateral ankle.