Progress in the treatment of femoral head fracture combined with posterior hip dislocation
10.3760/cma.j.cn121113-20240207-00091
- VernacularTitle:钢板内固定在距骨骨折中的应用
- Author:
Wei WANG
1
;
Jinquan HE
1
Author Information
1. 天津市天津医院创伤足踝科，天津 300211
- Publication Type:Journal Article
- Keywords:
Talus;
Fractures, bone;
Fracture fixation, internal;
Review
- From:
Chinese Journal of Orthopaedics
2025;45(4):246-252
- CountryChina
- Language:Chinese
-
Abstract:
Talar fractures are difficult to treat clinically, and complications such as traumatic arthritis and osteonecrosis often occur after surgery, which seriously affects the foot and ankle function of patients. At present, the treatment options of talus fractures include surgical treatment and conservative treatment, while the surgical treatment is mainly open reduction and internal fixation. There are many options for internal fixation, including Kirschner wires, cannulated screws, and absorbable screws. Although these internal fixations have shown good results in the treatment of simple fractures, they have been less effective when applied to complex, comminuted talar fractures. With the continuous development of technology, plate internal fixation has been gradually used in the treatment of talus fractures. Internal plate fixation can better achieve accurate fracture reduction and maintain stability after reduction, thus reducing the occurrence of osteonecrosis and malunion. Although there is no significant difference in stiffness, yield point and loading between plate fixation and conventional screw fixation, it has a better reduction effect, maintains anatomical reduction, resists collapse and shortening, and is more advantageous in fixing complex comminuted fractures. For patients with severe fracture collapse and combined bone defects requiring bone grafting, plate fixation in the bone graft area can prevent displacement and rotation of the graft. In the treatment of talar body fractures with plate internal fixation, internal and external bilateral approaches are often selected, which can obtain a broad surgical field and is conducive to fracture reduction. At present, there is no unified standard for the placement of plate for internal fixation of talar neck fractures. Clinicians need to comprehensively evaluate the severity and injury mechanism of talar fractures to formulate reasonable and effective surgical strategies.
