复杂距骨体骨折的个体化治疗及疗效分析

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Abstract Objective To investigate individual treatmentand curative effectof complex talus body fracture.Methods From January 2014 to December 2017，11 patients with talar body fractures underwentthe operation.There were 2 females and 9 males.The mean age of the patients was (29.6±5.9) years.According to Sneppenclassification，all of them were type Ⅴ.The mechanism ofinjury was a fall from the heightin 7 patients，a traffic accident in 3 patients，a crush injury in 1 patients.The mean intervalbetween injuryand surgical treatment for fractures was (6.9±1.7) days.There were 5 cases of anteriormedial incision，4 cases of anteriorlateral incision and 2 cases of combined approach.All patients were fixed with canulated screws.Results All patients were followed up for (32.4±8.1) months.Nonecrosis ofincision and wound infection were found.A11 fractures had achieved bone union；the average healing time was (18.0±3.5) weeks.Functional results were assessed according to A0FAS score.There were 5 patients withexcellent results，3with good result，2 with fair resultand 1with poorresult.Theoverall excellent and good rate was 72.7％.Avascular necrosis occured in 2 cases.Arthrodesis was needed in 2 cases.Conclusion Complex talus body fracture should be treated individually according to the fracture shape，carefully operated to reduce soft tissue dissection，protect the remaining blood supply，late loading，and maximize the preservation of ankle function.

Key words： talus fractures fracture fixation

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