[使用外部固定器进行长期固定,以避免骨折:一个案例报告]
Yasmin Youssef1, Volker Schöffl2, Gordian Weber3
1Klinik für Orthopädie, Unfallchirurgie und plastische Chirurgie, Universitätsklinikum Leipzig, Liebigstr. 20, 04103, Leipzig, Deutschland. yasmin.youssef@medizin.uni-leipzig.de.
Unfallchirurgie (Heidelberg, Germany)
|June 2, 2025
概括
本病例报告详细介绍了一种罕见的部位,通过开放式缩减和长时间的外部固定成功治疗. 患者实现了优秀的长期脚功能和症状缓解.
科学领域:
- 整形外科 整形外科 整形外科
- 创伤学 创伤学 创伤学
- 运动医学 运动医学
背景情况:
- 部脱位,涉及没有骨折的部和部关节,是罕见的,占所有脱位的1-2%.
- 标准治疗通常包括在麻醉下进行封闭性减少,然后进行固定.
研究的目的:
- 报告一个多维的,非骨折的部外位 (luxatio subtalolateralis) 的情况.
- 评估开放式减少和长期外部固定在治疗这种罕见损伤方面的有效性.
主要方法:
- 一名30岁的男性在爬山时遭受了一个非骨折的位.
- 由于后骨和 flexor digitorum pedis longus肌的插入,封闭式缩减失败,需要进行开放式缩减.
- 脚用外部固定器固定了12周,随后进行了物理治疗.
主要成果:
- 开放式缩减允许完全评估和管理失调.
- 患者在术后6个月表现出良好的脚关节运动性,功能性和弹性.
- 在术后30个月后,患者的症状完全消失.
结论:
- 开放式的减少是当闭合式的减少是不可行的时,对于亚位移的可行选择.
- 用外部固定器长时间固定 (12 周) 可以导致在亚位位上出现有利的长期功能结果.
- 这一案例突出了罕见的脚损伤的成功管理和显著的功能恢复.
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