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对高原地区距骨后突骨折的X线征象、病因及预后进行探讨。方法:回顾了本院96例资料完整的病例,均照有双侧踝关节正侧位片。结果;侧位像上为小块骨折,多合并踝部骨折。治疗不当可出现骨不连、缺血性坏死、骨髓炎等。结论:骨折片可向后上、后下移位,向上、下旋转。阅片时须仔细并与三角骨相鉴别,以减少和避免漏诊。其血供特点与高原环境导致预后不良。
X-ray signs, etiology and prognosis of the talus kyphosis fracture in the plateau region were discussed. Methods: A retrospective review of 96 cases of complete data in our hospital, according to the bilateral ankle lateral radiographs. Results; lateral image as a small fracture, multiple ankle fractures. Improper treatment of nonunion may occur, ischemic necrosis, osteomyelitis and so on. Conclusion: The fracture fragments can be shifted backwards, upwards and downwards and upwards and downwards. The film should be carefully and differentiated from the triangular bone to reduce and avoid missed diagnosis. Its blood supply characteristics and the plateau environment lead to poor prognosis.