Abstract：
Subtalar dislocations, ankle dislocations, and total talar dislocations are high-energy injuries. As such, there may be associated osseous or soft tissue injuries that can be diagnosed with advanced imaging such as computed tomography (CT) or MRI. With closed injuries, closed reduction may require sedation or general anesthesia, flexion of the knee to release the tension of the gastrocnemius-soleus complex, distraction is applied, the deformity is accentuated, then the deformity is corrected. Open injuries are usually associated with a higher level of energy and a higher rate of infection. It is important to thoroughly irrigate and debride open dislocations both before and after reduction.
摘要：
距下脱位,踝关节脱位,距骨脱位是高能损伤。因此，可能有相关的骨或软组织损伤，可以通过先进的影像学诊断，如计算机断层扫描（CT）或MRI。闭合伤，闭合复位可能需要镇静或全身麻醉，膝盖屈曲以释放腓肠肌-比目鱼复合体的张力，分心被应用，畸形加剧了，然后畸形得到纠正。开放性损伤通常与较高的能量水平和较高的感染率相关。重要的是在还原之前和之后彻底灌溉和清除开放式位错。
