PDF(Pubmed)
Abstract：
BACKGROUND: The combination of talar neck fractures with malleolar fractures is a rare. This rare association accounts for 0.3 % of all bone fractures. We describe a one-of-a-kind ankle dislocation with a talar neck fracture and a bimalleolar fracture.
METHODS: A 24-year-old male patient presented to the emergency department after a traffic accident. A physical examination revealed swelling and tenderness in the left ankle. The radiograph and the CT scan showed a Hawkins type III comminuted talar neck fracture, with an oblique fracture of the medial malleolus and an infra-syndesmotic fracture of the lateral malleolus. The patient underwent open reduction and internal fixation involving screw fixation for talar neck fracture and the medial malleolus and plating for the lateral malleolus. The treatment and post-operative follow-up showed successful healing and functional recovery, with a score of 85 on the American Orthopedic Foot and Ankle Society ankle-hindfoot at the last follow up.
CONCLUSIONS: The discussion includes insights on the rarity of this fracture combination, treatment challenges, and potential complications such as avascular necrosis. This article emphasizes the importance of achieving anatomical reduction and stable fixation for optimal outcomes in such complex fractures.
CONCLUSIONS: This case report highlights the successful treatment of a rare combination of talar neck and bimalleolar ankle fractures, emphasizing the importance of anatomical reduction and stable fixation for optimal outcomes in complex fractures.
METHODS: A 24-year-old male patient presented to the emergency department after a traffic accident. A physical examination revealed swelling and tenderness in the left ankle. The radiograph and the CT scan showed a Hawkins type III comminuted talar neck fracture, with an oblique fracture of the medial malleolus and an infra-syndesmotic fracture of the lateral malleolus. The patient underwent open reduction and internal fixation involving screw fixation for talar neck fracture and the medial malleolus and plating for the lateral malleolus. The treatment and post-operative follow-up showed successful healing and functional recovery, with a score of 85 on the American Orthopedic Foot and Ankle Society ankle-hindfoot at the last follow up.
CONCLUSIONS: The discussion includes insights on the rarity of this fracture combination, treatment challenges, and potential complications such as avascular necrosis. This article emphasizes the importance of achieving anatomical reduction and stable fixation for optimal outcomes in such complex fractures.
CONCLUSIONS: This case report highlights the successful treatment of a rare combination of talar neck and bimalleolar ankle fractures, emphasizing the importance of anatomical reduction and stable fixation for optimal outcomes in complex fractures.
摘要：
背景：距骨颈骨折合并踝骨折的情况比较少见。这种罕见的关联占所有骨折的0.3%。我们描述了一种踝关节脱位，距骨颈骨折和双踝关节骨折。
方法：一名24岁男性患者在交通事故后被送往急诊科就诊。体格检查显示左脚踝肿胀和压痛。X光片和CT扫描显示HawkinsIII型距骨颈粉碎性骨折,内踝斜向骨折和外踝下结合骨折。该患者接受了切开复位和内固定术，包括螺钉固定治疗距骨颈骨折和内踝，以及外踝钢板。治疗和术后随访均显示愈合和功能恢复成功。在最后一次随访中，美国骨科足踝和踝关节协会的踝足得分为85分。
结论：讨论包括对这种骨折组合的罕见性的见解，治疗挑战,和潜在的并发症如血管坏死。本文强调了在此类复杂骨折中实现解剖复位和稳定固定以获得最佳结果的重要性。
结论：本病例报告重点介绍了一种罕见的距骨颈和双踝骨折联合治疗的成功方法。强调解剖复位和稳定固定对于复杂骨折最佳结果的重要性。
方法：一名24岁男性患者在交通事故后被送往急诊科就诊。体格检查显示左脚踝肿胀和压痛。X光片和CT扫描显示HawkinsIII型距骨颈粉碎性骨折,内踝斜向骨折和外踝下结合骨折。该患者接受了切开复位和内固定术，包括螺钉固定治疗距骨颈骨折和内踝，以及外踝钢板。治疗和术后随访均显示愈合和功能恢复成功。在最后一次随访中，美国骨科足踝和踝关节协会的踝足得分为85分。
结论：讨论包括对这种骨折组合的罕见性的见解，治疗挑战,和潜在的并发症如血管坏死。本文强调了在此类复杂骨折中实现解剖复位和稳定固定以获得最佳结果的重要性。
结论：本病例报告重点介绍了一种罕见的距骨颈和双踝骨折联合治疗的成功方法。强调解剖复位和稳定固定对于复杂骨折最佳结果的重要性。
