Clinical study of minimally invasive internal fixation treatment of talus fracture
10.3760/cma.j.jssn.1673-4904.2016.03.013
- VernacularTitle:有限切开内固定治疗距骨骨折的临床分析
- Author:
Aimin GUO
;
Kong QIAO
;
Liyue ZHANG
;
Zhiguo WANG
;
Zhigang WU
;
Shiwu WANG
;
Wenting WAN
;
Qian GAO
;
Zongxia WANG
- Publication Type:Journal Article
- Keywords:
Talus;
Internal fixators;
Osteonecrosis
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(3):235-238
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study and summary the treatment of talus fracture. Methods Fifteen patients with talus fracture were treated by limited cut off reduction by leverage and hollow lag screw under C arm X-Ray machine January 2008 to November 2014, of whom there were 11 males and 4 females, aged 15-61 years old. Seven patients sufferred from talus fracture because of traffic accidents, 4 patients because of falls, 2 patients because of crush injury, and 2 patients because of sprains. Hawkins typing:Ⅰtype in 1 patient, Ⅱ type in 6 patients, Ⅲ type in 6 patients of Ⅲ type, and Ⅳ type in 2 patients. Results Followed up for 6 months to 4 years (mean 1.5 years), fracture healed better. Hawkins grading standard:9 patients showed excellent (1 patient ofⅠtype, 5 patients ofⅡtype, 3 patients ofⅢtype), and two patients showed good (Ⅲtype). The excellent and good rate was 11/15. Necrosis of talus occurred in one patient, and degenerative joint disease occured in one patient. Conclusions Minimally invasive internal fixation with hollow lag screw under C arm X-Ray machine in the treatment of talus fracture has a small injury to the periosteum and the blood supply of small soft tissue. It can fix reliably and can pressurize the fracture fragments, and is conducive to fracture healing.
