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Nonoperative treatment of closed total talus dislocation without fracture: A case report and literature review

机译:非手术治疗闭合性全距骨脱位无骨折1例并文献复习

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摘要

Complete dislocation of the talus not accompanied by a fracture is a very rare injury. Most cases reported are open talus dislocations; closed dislocations are rarely seen. The functional prognosis is poor due to osteonecrosis of the talus which develops in the majority of cases.We present a case of lateral dislocation of the left talus in a 29-year-old road accident victim, but no fracture could be detected in the talus and any of malleolus. Reduction of dislocation had been performed in emergency by external manipulation. At 1-year follow-up, the right ankle was pain free and stable. Motion was satisfactory: 15° dorsal flexion, 30° plantar flexion; the talus didn't show subluxation and avascular necrosis could not be detected.
机译:距骨完全脱位而不伴有骨折是非常罕见的损伤。报告的大多数病例为距骨脱位。闭合性脱位很少见。由于大多数情况下发生的距骨骨坏死导致功能性预后较差。我们在一名29岁的交通事故受害者中发生左侧距骨横向脱位的病例,但在距骨中未发现骨折和任何槌骨。紧急情况下已通过外部操作减少了脱位。在1年的随访中,右脚踝无疼痛且稳定。动作令人满意:背屈15°,足底屈30°。距骨未见半脱位,无法发现无血管坏死。

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