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相關文獻
- Management of Talar Neck Fractures
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題 名 | Management of Talar Neck Fractures=距骨頸骨折性脫臼之治療 |
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作 者 | 趙國華; 王世杰; 白偉民; 敖曼冠; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 28:5 民84.09-10 |
頁 次 | 頁369-374 |
分類號 | 416.26 |
關鍵詞 | 距骨頸骨折; 脫臼; Talar neck fracture; Hawkins' classification; Avascular necrosis; |
語 文 | 英文(English) |
中文摘要 | 距骨頸骨折性脫臼為一高能量的創傷,且根據文獻記載,其最後結果不好的機會很大。自1985年6月至1993年4月,共有35例距骨頸骨折於本院接受治療,其中28例完成追踪。依霍金斯分類系統區分,第一型有8例,第二型有11例,第三型有9例。第一型以長腿石膏繼之以短腿石膏固定治療,第二型及第三型皆以開放復位及鋼釘內固定術治療。距骨體發生缺血性壞死之機率:第一型為百分之十二點五,第二型為百分之五十四,第三型為百分之百。此28例之最後結果評估,第一型患者皆能得到特好及好的結果,故我們建議,對於第一型之距骨頸骨折,以石膏固定治療,第二型患者以急診閉合復位或開放復位合併鋼釘內固定術治療,第三型患者皆以急診開放復位及鋼釘內固定術治療。 |
英文摘要 | Talar neck fractures represent a serious injury, and a review of the literature reveales the incidence of poor results is disappointingly high. Between June 1985 and April 1993, 35 cases were admitted to our hospital with fracture of talar neck. Seven patients were lost to follow-up and were thus excluded from this study. Of the remaining 28 fractures of talar neck, 8 were Hawkins' Type I injury, 11 were Type II injury, and 9 were type III injury. Type I fractures were treated with the closed method, while the Type II and III fracture-dislocation were treated operatively. The rate of avascular necrosis (AVN) of Type I injury was 12.5%, Type II injury was 54%, and Type III injury was 100%. The average follow-up was 53 months. The results were evaluated with Hawkins' criteria. For Type I injury, all patients achieved good or execllent results. For displaced talar neck fractures (Type II and III), 50% of the patients achieved good or excellent result. Prompt open reduction and internal fixation are recommended for displaced fracturedislocations of the talar neck. Anatomic reduction, bony union and early rehabilitation are the goals of the treatment, even though AVN is inevitable. There is no direct relationship between the development of AVN and permanently disabling symptoms. |
本系統中英文摘要資訊取自各篇刊載內容。