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샌드위치 블록 경종골 관절 유합술을 이용한 거골 완전 탈출의 치료(1예 보고)

Treatment for Total Extrusion of the Talus (Missing Talus) using the Sandwich Block Tibiocalcaneonavicular Arthrodesis (A Case Report)

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초록

Total extrusion of the talus is a very rare injury. If the talus is found in a short time, it can be restored to its original position. If the talus is missing or found too late, however, surgeons may attempt tibiocalcaneal arthrodesis or use a pseudoarthrosis without repositioning the talus. As direct tibiocalcaneal arthrodesis may shorten the lower extremity, tibiocalcaneal arthrodesis using a sandwich block can be performed. We performed tibiocalcaneonavicular arthrodesis using a sandwich block to treat a patient with open talus extrusion caused by a motorcycle accident and obtained good clinical results.

Abstract

Total extrusion of the talus is a very rare injury. If the talus is found in a short time, it can be restored to its original position. If the talus is missing or found too late, however, surgeons may attempt tibiocalcaneal arthrodesis or use a pseudoarthrosis without repositioning the talus. As direct tibiocalcaneal arthrodesis may shorten the lower extremity, tibiocalcaneal arthrodesis using a sandwich block can be performed. We performed tibiocalcaneonavicular arthrodesis using a sandwich block to treat a patient with open talus extrusion caused by a motorcycle accident and obtained good clinical results.

참고문헌 (8)

  1. Assal M, "Total extrusion of the talus. A case Report", J Bone Joint Surg Am, 86, pp.2726~2731 (2004)
  2. Brewster NT, "Reimplantation of the totally extruded talus", J Orthop Trauma, 11, pp.42~45 (1997)
  3. Hirazumi Y, "Open total dislocation of the talus with extrusion (missing talus): report of two cases", Foot Ankle, 13, pp.473~477 (1992)
  4. Jaffe KA, "Traumatic talectomy without fracture: four case reports and review of literature", Foot Ankle Int, 16, pp.583~587 (1995)
  5. Koller H, "Reconstructive surgery for complete talus extrusion using the sandwich block arthrodesis: a report of 2 cases", J Foot Ankle Surg, 46, pp.493~498 (2007)
  6. Montoli C, "Total extrusion of the talus: a case report", J Foot Ankle Surg, 43, pp.321~326 (2004)
  7. Papaioannou NA, "Traumatic extrusion of the talus(missing talus)", Foot Ankle Int, 19, pp.590~593 (1998)
  8. Wagner R, "Talar dislocations", Injury, 35(2), pp.SB36~SB45 (2004)

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