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| The clinical experience of open reduction and internal fixation for the treatment of 12 talar fracture-dislocation |
| XU Leixing, LI Renzhong, ZHANG Chunli, AN Chenggong, YU Jicheng, CHENG Hui, SUN Hao, GUO Xiangkun |
| Department of Orthopedic,Dingtao District People’s Hospital,Heze 274100,P.R.China |
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Abstract Objective To explore the clinical experience via open reduction and internal fixation for the treatment of 12 talar fracture-dislocation.Methods Retrospective analysis of 12 cases of talar fracture-dislocation from March 2010 to September 2016 had undergone open reduction internal fixation.The adverse events such as infection of incision, cutaneous necrosis of the surgical area,breakage failure of the internal fixation,talar avascular necrosis and traumatic arthritis were recorded during the follow-up period.AOFAS ankle-foot evaluation standard and VAS grade were adopted to assess patients’ function.Results The following-up ranged from 14 months to 84 months with an average of 37.6 months.The union time ranged from 11 weeks to 13 weeks with an average of 12.2 weeks.The recovering of normal activity ranged from 14 weeks to 17 weeks with an average of 15.8 weeks.Though there were 5 cases of traumatic arthritis and 2 cases of talar avascular necrosis without collapse,the adverse events such as infection of incision, cutaneous necrosis of the surgical area, breakage failure of the internal fixation, and nonunion were absent.The VAS value ranged from 0 to 8 with an average of 3.5.The AOFAS value ranged from 43 to 92 with an average of 87.2 with 4 cases of excellent,6 cases good,1 case tolerable and 1 case poor,the excellent to good rate was 83.3%.Conclusion Symptomatic treatment in the early stage, sufficient surgical exposure, deliberate protection of the blood supply of talus so as to minimize the surgical damage and personal function exercise of the patients were the important therapeutic methods.
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Received: 01 March 2018
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