摘要
Abstract
Objective To evaluate the short effectiveness of operative treatment of displaced talar neck fractures with acutrak screws.Methods Between November 2013 and January 2016,17 patients with the displaced talar neck fractures were treated with acutrak screw,and their clinical data were retrospectively analyzed.There were 13 males,4 females,and aged 18-56 years.The causes of injury included traffic accident in 6 cases,falling injury in 5 cases,sport injury in 5 cases,weight crushed in 1 case.There were medial malleolus fractures in 4 cases among them,open fractures in 4 cases.According to Hawkins' classification,there were 13 cases of type Ⅱ,3 cases of type Ⅲ,1 cases of type Ⅳ.The time from injury to operation was 6 h-10 d (median,5.2d).Result All patients were followed up 9-24 months (mean,13.9 months) after the operation.All obtained healing of incisions by first intention after operation.There were 1-5 months after operation to bear weights,means 2.9 months.The X-ray films showed that all fractures healed at 3-6 months (mean,4.1 months).The density of talus became higher in 2 cases after 6 months and necrosis after 12 months.There was no neurovascular injury.At 6 months,according to AOFAS scoring system,the mean score of all patients was 80.4.Conclusion There is good short effectiveness of operative treatment of displaced talar neck fractures with acutrak screws.关键词
移位/距骨颈/骨折/无头加压全螺纹空心钉/内固定Key words
displaced/talar neck/fracture/acutrak screw/internal fixation分类
医药卫生
