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  • 标题:A Treatment for Fracture of the Talar Neck
  • 本地全文:下载
  • 作者:Lee, Kun Yung ; Lee, Young Kee ; Cho, Yong Mann
  • 期刊名称:Journal of the Korean Fracture Society
  • 印刷版ISSN:1225-1682
  • 出版年度:1996
  • 卷号:9
  • 期号:4
  • 页码:1009-1015
  • DOI:10.12671/jksf.1996.9.4.1009
  • 语种:Korean
  • 出版社:The Korean Fracture Society
  • 摘要:

    The talus has some important anatomic features. Approximately 60% of its surface is cartilage and the talus often has problems with circulation. Talar neck fracture have a high association with osteonecosis and osteoarthritis. Authors have analysed 16 cases of the talar neck fractures treated at Lee-Rha General Hospital from January 1990 to December 1995 with minimal 1 year follow up.

    The results were as follows;

    1. In the 16 cases, there were 14 males and 2 females, the age between 20 and 40 years old was 10 cases(63%).

    2. The most common rause of injury was traffic accident(63%), with sudden hyperextension as its mechanism.

    3. Associated injuries were 4 malleolar fracutres, 3 calcaneous fractures, 3 spine fractures, 3 tibiofibular fractures and 2 femur fractures.

    4. According to the Hawkins classification ; 3 cases in type 1, 4 cases in type II, 5 cases in typeIII, 4 case in type IV fractures were observed.

    5. The method of treatment, all 3 cases of Hawkins type I fractures were treated by closed reduction and cast immobilization, 3 cases of Hawkins type II and 1 case of Hawtins type III fracture were treated by closed reduction and internal fixation, other 9 cases were treated by open reduction and internal fixation.

    6. Excellent results were observed in 8 cases, good in 5 cases, fair in 2 cases, poor in 1 case with the Hawkinstherapeutic criteria.

    7. Complications were observed 3 avascular necrosis, 2 post-traumatic arthritis, 2 ankle stiffness and 1 skin necrosis.

    From the above results, authors believe that early anatomical reduction & internal fixation is importent to get a satisfactory result in the treatment of tatar neck fracture.

  • 关键词:Talus; Neck; Fracture
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