整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
距骨下関節脱臼の治療経験
篠田 毅尾上 英俊木村 一雄斉田 光浅原 洋資竹山 昭徳
著者情報
キーワード: 距骨下関節脱臼, 治療, 整復
ジャーナル フリー

2004 年 53 巻 4 号 p. 914-917

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Four cases of subtalar dislocation were treated. All cases were men whose average age was 23 years (range from 16 to 32). These injuries occurred either from sports activities or traffic accidents. There were three lateral and one medial dislocations. One case involved in a traffic accident suffered calcaneal open fracture, and another case talar body fracture. Closed reductions under intravenous anesthesia was performed for closed dislocation in the emergency department and these were successful. Open reduction, debridement, and osteosynthesis under general anesthesia were performed on one case of calcaneal open fracture. Short leg cast or splint was applied for all cases after reduction.
The mean period of immobilization was 40.5 days (range from 21 to 60). The mean period of partial weight bearing was 43 days (range from 29 to 60) after reduction.
All patients complained of pain during sports activity or work, however arthritic change of the subtalar joint and avascular necrosis of the talus were not recognized.

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© 2004 西日本整形・災害外科学会
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