Abstract：
Fractures of the talus are infrequent injuries often associated with substantial morbidity and imperfect outcomes. We undertook a retrospective review of talus fractures at multiple level 1 trauma centers in order to identify common treatment patterns and potential predictors of complications. All cases of talar fractures meeting inclusion criteria at our institution were reviewed. 54 of 103 talus fractures met inclusion criteria. 33 (61.1%) involved the talar neck, 13 (24.1%) the talar body, and 6 (9.2%) involved the lateral process. The most common etiology was motor vehicle accidents, accounting for 27 (50.0%). Mean follow up was 13.6 months (range 8-52 months). 37 (68.5%) fractures were fixated with screws, and 17 (31.5%) were fixated with a plate construct. Single and dual incisions were used in 63.0% and 25.9% of cases, respectively. Complications were seen in 46.3% of cases, with post-traumatic osteoarthritis being the most common complication (35.1%). Avascular necrosis occurred in 4 (7.4%) patients. No independent variables met the statistical threshold to be associated with complications. The present data alludes to possibility of over-reporting complications due to historical literature and the need for further studies.
摘要：
距骨骨折是罕见的损伤，通常与大量的发病率和不完美的结果有关。我们在几个一级创伤中心对距骨骨折进行了回顾性研究，以确定常见的治疗模式和并发症的潜在预测因素。对我们机构所有符合纳入标准的距骨骨折病例进行了审查。103个距骨骨折中有54个符合纳入标准。33例（61.1%）累及距骨颈，13（24.1％）距骨，6（9.2％）涉及横向过程。最常见的病因是机动车事故，占27（50.0%）。平均随访13.6个月(8-52个月)。37例（68.5%）骨折用螺钉固定，和17（31.5％）用平板结构固定。单切口和双切口分别占63.0%和25.9%，分别。并发症见于46.3%的病例,创伤后骨关节炎是最常见的并发症（35.1％）。4例（7.4%）患者发生血管坏死。没有独立变量达到与并发症相关的统计学阈值。目前的数据暗示了由于历史文献和需要进一步研究而导致的过度报告并发症的可能性。
