未经证实:距骨骨折极为罕见,约占足踝部骨折的1%。距骨颈骨折损伤吻合环的概率较高,这会中断距骨的血液循环,并导致骨折愈合和完整性的严重问题。由于放射学和临床检查不足,初步评估后,约39%的中足和踝关节骨折可能未确诊.距骨骨折约占这些遗漏骨折的一半。为了改善功能预后,可以在忽略的距骨颈骨折的治疗中进行解剖复位和高级固定方法。
未经评估:一名30岁的男性患者在行走三个月时出现右脚肿胀和疼痛。三个月前,他以前从楼梯上摔了大约两米。与其去医院,他接受了传统的按摩疗法。三个月后,他来找我们抱怨慢性,沉闷的疼痛,肿胀,行走和站立时持续疼痛。放射学评估后,患者被诊断为忽视骨不连III型距骨颈Hawkins骨折,并通过双切口入路处理,髂骨松质骨移植,空心螺钉切开复位内固定(ORIF)。14个月后,他能够恢复到完全负重和他以前的活动,而没有任何疼痛。
UNASSIGNED:开放复位内固定术(ORIF)与Iliccrest松质骨移植是一种可靠的方法,用于治疗被忽视的颈距骨III型Hawkins骨折,随访14个月后具有良好的功能效果。
UNASSIGNED: Talus fractures are extremely uncommon, accounting for approximately 1 % of foot and ankle fractures. The talar neck fracture has a high probability of damaging the anastomotic ring, which would interrupt blood circulation to talar body and cause serious issues with fracture healing and integrity. Due to insufficient radiological and clinical examination, approximately 39 % of midfoot and ankle fractures could be undiagnosed after initial evaluation. Talus fractures account for about half of these missed fractures. Anatomic reduction and advanced fixation methods can be performed in the management of neglected talus neck fracture for the purpose of improving functional outcome.
UNASSIGNED: A 30-year-old male patient presented with swelling and pain on the right foot while walking for three months. He had previously fallen about two meters from stairs three months back. Instead of going to the hospital, he received conventional massage therapy. Three months later, he came to us complaining of chronic, dull aching, swelling, and continuous pain when walking and standing. After radiology evaluation, the patient was diagnosed with neglected nonunion type III Hawkins fracture of the neck talus and managed by double incision approach, Iliac crest cancellous bone graft, open reduction and internal fixation (ORIF) with cannulated screw. He was able to return to full weight bearing and his previous activity without experiencing any pain after 14 months.
UNASSIGNED: Open reduction and internal fixation (ORIF) with Iliac crest cancellous bone graft is a reliable methods for neglected non-union type III Hawkins fracture of neck talus with great functional outcomes after 14 months of follow up.