Traumatic Injury to the Subtalar Joint

被引:25
|
作者
Rammelt, Stefan [1 ]
Bartonicek, Jan [2 ]
Park, Kyeong-Hyeon [3 ]
机构
[1] Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Univ Ctr Orthopaed & Traumatol, Foot & Ankle Sect, Fetscherstr 74, D-01307 Dresden, Germany
[2] Charles Univ Prague, Cent Mil Hosp Prague, Dept Orthopaed, Fac Med 1, U Vojenske Nemocnice 1200, Prague 16902 6, Czech Republic
[3] Kyungpook Natl Univ Hosp, Dept Orthoped Surg, 130 Dongdeok Ro, Daegu 41944, South Korea
关键词
Subtalar dislocation; Talar fracture; Calcaneal fracture; Sustentacular fracture; Talar process fracture; Cartilage; Arthritis; INTRAARTICULAR CALCANEAL FRACTURES; CONTROLLED MULTICENTER TRIAL; PERCUTANEOUS SCREW FIXATION; TALAR BODY FRACTURES; SINUS TARSI APPROACH; INTERNAL-FIXATION; OPEN REDUCTION; OPERATIVE TREATMENT; TALUS FRACTURES; CONTACT CHARACTERISTICS;
D O I
10.1016/j.fcl.2018.04.004
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Traumatic injury to the subtalar joint occurs during subtalar dislocations, talar and calcaneal fractures, and fracture dislocations. After closed reduction of subtalar dislocations, peripheral talar or calcaneal fractures need to be ruled out by computed tomography scanning. In fractures and fracture dislocations of the talus and calcaneus involving the subtalar joint, anatomic reconstruction of joint congruity is essential for functional rehabilitation. Failure to anatomically reduce the subtalar joint potentially leads to chronic instability, subtalar arthritis, and posttraumatic hindfoot deformity. Despite adequate management, subtalar arthritis may develop as a result of primary cartilage damage at the time of injury.
引用
收藏
页码:353 / +
页数:23
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