闭合整复距下关节脱位11例治疗体会  

Treatment experience of 11 cases of subtalar joint dislocation by closed reduction

作　　者：张凯博 李刚[2] 赵杰[1] 陈帅 ZHANG Kai-bo;LI Gang;ZHAO Jie;CHEN Shuai(Shandong University of Traditional Chinese Medicine,Jinan 250355;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250355

出　　处：《临床医学研究与实践》2020年第2期5-7,共3页Clinical Research and Practice

摘　　要：目的探讨距下关节脱位(STJD)的损伤机制及诊治方法。方法选择我院骨科2017年6月至2019年2月收治的11例STJD患者。回顾STJD的诊疗诊治过程,分析STJD的损伤原因并总结其治疗策略。结果 11例脱位均复位成功,所有患者均获随访,随访时间9~21个月,平均(16.5±3.0)个月。截至最后一次随访,患者美国足踝外科学会(AOFAS)踝-后足评分为(82.4±7.1)分;功能:优8例,良2例,可1例,优良率为90.9%。1例患者术后14个月出现跗骨窦综合征,给予我院自制活血止痛散熏洗后症状缓解。结论距下关节脱位的治疗关键在于急诊闭合复位,手法复位简便易行,患者预后较好。Objective To explore the injury mechanism, diagnosis and treatment of sublingual joint dislocation(STJD).Methods From June 2017 to February 2019, 11 patients with STJD treated in orthopaedic department of our hospital were selected. The diagnosis and treatment of STJD were reviewed. The injury causes of STJD were analyzed and the treatment strategies were summarized. Results A total of 11 cases of dislocation were successfully reset. All the patients were followed up for 9-21 months, with an average of(16.5±3.0) months. As of the last follow-up, the AOFAS ankle posterior foot score was(82.4±7.1);the joint function showed that 8 cases were excellent, 2 cases were good and 1 case was common,and the excellent and good rate was 90.9%. One patient developed tarsal sinus syndrome at 14 months after operation, and the symptom was relieved after fumigating and washing with self-made Huoxue Zhitong powder in our hospital. Conclusion The key to the treatment of STJD is the emergency closure reset, the method of reset is simple and easy, and the patients’ prognosis is better.

关 键 词：距下关节脱位 闭合复位 损伤机制 

分 类 号：R687.3[医药卫生—骨科学]