Talus fracture Doctors enter, talus fracture is not severe

The fracture is still not normal for 3 months, it is recommended to go to the hospital for examination!

Now you can give up crutches and try to walk slowly on your own, but not too long each time, as for when you can return to a normal state, it depends on your ** and functional exercises during this time, and move your ankle joints more. Don't rush, it's a slow process, keep exercising.

Go to the hospital** to see a doctor, be careful of necrosis, do not abandon crutches 6 months in advance, generally 9 months can walk normally.

I also had a fractured bone, but playing badminton caused me to displace, so I had surgery to fix the nail. August 19th is exactly three months, happy

However, I am lazy to use a single crutch at home in July, and I don't use crutches in August. I used to be the same as you, my feet changed color when I put them down, my legs were thin and shapeless, the doctor said that the blood was not smooth, and he told me to break my feet up if I was okay and move more (not walking). When I'm tired, put my feet a little higher, and I'm in a bad habit now:

The left foot is basically a height with the hand haha.

You see, I'm still a little dark, and it's still uncomfortable after walking for a long time. Therefore, recuperation is a relatively long process, and sometimes slow people want to abuse themselves

Hehe, for everyone's sake, I will sell my Qiuqiu (524553425) to you, and you can ask me any questions.

There are many types of talus fractures, I don't know what you mean by "interruption of the continuity of the inner edge of the cortex", but according to the description of your injury process, it should not be a too serious fracture, if it is indeed not too serious, it is completely okay to be conservative, and there will be no sequelae left in the future, of course, the healing of the fracture and the recovery of the surrounding soft tissues will take about 4-6 weeks, before that it is best to give protection, that is, to avoid full weight bearing; If it is a more severe type of talus fracture, it may require surgery**, and the chance of residual sequelae will be much greater, but it is useless for you to worry about these, and the doctor will tell you when it really comes to that point.

Less common, talar fractures, where the upper part of the talus is part of the ankle joint and have poor blood supply, can cause disability due to avascular necrosis after injury. Therefore, it is more severe in foot fractures. The cause of fracture is mostly a fall from a height, the soles of the feet hit the ground, and the talus is squeezed between the calcaneus and the lower end of the tibia, resulting in the transsection or comminuted fracture of the talus.

If the ankle is dorsiflexed, the anterior edge of the tibia presses against the talus neck, causing a transverse fracture of the neck; Conversely, if plantar flexion, the posterior edge of the tibia presses against the posterior talus tuberosity, resulting in posterior tubercle fracture. Clinically, there are many neck and body fractures of the talus. Calcaneus and malleolar fractures can occur at the same time as talus fractures, and it is sometimes difficult to distinguish, especially talus body fractures, which need to be confirmed by photographing.

**: If the talus neck fracture is not displaced, after the external application of traditional Chinese medicine osteopathy, the pain and swelling symptoms are eliminated, and the plaster is fixed for 6 weeks. The lateral displacement of the talus fracture to the dorsal side can be corrected by manipulation, and after the external application of traditional Chinese medicine osteopathy, the plaster can be fixed.

Oral orthopedic medicine combination**. Talus body fracture can be crushed or broken into two pieces, and there are many injuries to the upper and lower articular surfaces, and often combined with dislocation, manual reduction and calcaneal traction** can be used, and bone grafting drugs can be applied externally. After 8 weeks of immobilization with a cast, weight bearing is avoided.

In case of failure of closure, surgery**, peeling should be avoided as much as possible during the operation to reduce the possibility of necrosis of the fracture fragment, and oral osteopathic drug should be used at the same time. The posterior fracture fragment of talus tuberosity fracture is often displaced posteriorly and superiorly, and the injured foot is dorsiflexed during reconstruction, and the ankle is reduced by pressing on both sides of the Achilles tendon, and then the ankle dorsiflexion cast is fixed for 6-8 weeks, and the osteopathic drug is taken orally with **.

In addition to the neck, the talus has more ligaments attached, the blood circulation is slightly better, and the upper, lower and first directions are the articular surfaces connected with the adjacent bones, and there is a lack of sufficient blood circulation, so attention should be paid to accurate reduction and strict fixation, otherwise the incidence of aseptic necrosis and disconnection of the bone is higher. According to the type of fracture and the specific situation, take corresponding measures.

1.Nondisplaced fractures.

It should be immobilized with a cast boot for 6 to 8 weeks, and weight support should not be forced until the fracture has not healed firmly.

2.There is a displaced fracture.

The talus fracture is mostly displaced to the dorsal side, and can be reduced by manipulation, paying attention to the fixed posture in the plantar flexion position so that the distal end is against the proximal end, and the plaster boot is fixed for 6 to 8 weeks. After the fracture is basically connected, it is gradually corrected to the 90° functional position of the ankle joint, and then fixed for another 4 to 6 weeks, which may achieve a more solid healing. Try not to force premature weighting.

If there is a large separation of the talus fracture, manual reduction can be successful, but it requires strict immobilization for 10 to 12 weeks.

If manual reduction fails, calcaneal traction can be used for 3 to 4 weeks, followed by manual reduction. Then switch to a cast boot for strict immobilization for 10-12 weeks. However, due to the comminuted or split fracture of the talus, the cartilage surface of the upper and lower joints is mostly damaged, and the proportion of traumatic arthritis occurs after healing is high, and the recovery is often not very satisfactory.

If the posterior talus process fracture is displaced, the fracture fragment can be removed if the fracture fragment is not large, and when the fracture fragment is large and affects the articular surface more, it can be fixed with a K-wire needle and a plaster shoe for 8 weeks.

3.Failure of closed reduction often requires surgical incision, reconstructive restoration, and internal fixation with screws.

Talus neck fractures account for about 30% of talar fractures. In the case of a fall from a height, the foot and ankle are dorsiflexed at the same time, and the talus neck strikes the anterior edge of the distal tibia, resulting in a vertical fracture. It can be divided into three types:

1) Vertical fracture of talar neck with little or no displacement.

2) Neck fracture of talus with subtalar joint dislocation. After a talus neck fracture, the foot continues to dorsiflexion, the talus body is fixed in the ankle point, and excessive dorsiflexion of the rest of the foot leads to dislocation of the subtalar joint.

3) Talus neck fracture with talar body dislocation. After a talus neck fracture, the external force of dorsiflexion continues, and the talus body rotates posteriorly medial and dislocates, and locks behind the talar process, often with medial malleolus fractures. Often open lesions.

For these **, the problem is not big, but for further follow-up observation, there is a possibility of osteonecrosis after talus fracture, and traumatic osteoarthritis is also possible.

Dr. Wang Zhongren solemnly reminded that because the patient cannot be seen face-to-face and cannot fully understand the condition, the above suggestions are for reference only, and the specific diagnosis of Liang Qi's limb therapy must be carried out in the hospital under the guidance of the doctor! ）

Wang Zhongren, Jiaozuo People's Hospital.

Children are very naughty, my cousin is 8 years old today, when he was in school, it was not good to walk on the stairs after class, and when he jumped down from the top, his feet hurt and cried. He was taken to the hospital and said it was a talus fracture and a displaced fracture. After surgery in the hospital, he stayed for a while before returning to school, and from then on he never dared to jump up the stairs again.

Step Method:

Fractures are usually caused by external forces, and talus fractures are usually caused by falling from a height or crushing. Generally, after a fracture, there will be redness, swelling, pain, and inability to walk upright. It can be very troublesome for small children to break a bone, and they will cry because it hurts too much.

If there is a talus fracture due to an accident, you must be careful not to let the injured foot walk again, and finally find two wooden planks to fix it, and then send it to the hospital.

Secondly, there are generally two types of talus fractures, one is a non-displaced fracture, that is, the middle of the bone does not move away. Generally, as long as the plaster is fixed, and then the drug is relatively **. There is also a displaced fracture, because it is displaced, so it must be moved to the correct position, moved back to fixation, and then put on a cast, but if the redetermination fails, it will be more troublesome, and it will need to be surgically incised and re-fixed.

Finally, in fact, the cultivation after the talus fracture is more important, the injured muscles and bones move for 100 days, so you must pay attention to your diet after the fracture. Eat more light foods such as vegetables, eggs, soy products, fruits, fish soup, gravy, etc., and be sure to supplement calcium during the recovery period of fractures. What you must not eat is spicy food.

Because calcaneal and ankle fractures can occur at the same time as talus fractures, clinical differentiation is sometimes difficult, and x-rays are often needed to confirm the diagnosis.

Talus fracture is a talus fracture characterized by local swelling, pain, subcutaneous ecchymosis, and inability to stand and walk. Talus fractures are less common and are usually caused by direct bruising or indirect crush from a fall from a height, often with calcaneal fractures. The prognosis of talus fracture is not very ideal, and it is easy to cause nonunion or avascular necrosis, so it should be diagnosed and treated as soon as possible.