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Talar Fracture Fixation

(Open Reduction and Internal Fixation)

距骨骨折內(nèi)固定（切開復(fù)位內(nèi)固定）

Overview（概述）

This procedure is used to correct a fracture of the talus, one of the three main bones that form the ankle joint. During this procedure, the surgeon stabilizes the bone with hardware to allow the bone to heal properly.

　　這個手術(shù)是用來治療距骨骨折。距骨是構(gòu)成踝關(guān)節(jié)的三個骨頭之一。在此手術(shù)中，外科醫(yī)生用內(nèi)植物固定骨頭，以利于骨骼正常愈合。

Preparation（準(zhǔn)備）

In preparation for the procedure, the patient is positioned and anesthesia is administered. The surgeon creates one or more incisions on the foot to access the fractured talus.

　　準(zhǔn)備手術(shù)時，將病人擺妥體位并施以麻醉。 外科醫(yī)生在腳上作一個或多個切口以接近骨折的距骨。

Fixation（固定）

The surgeon carefully realigns the fracture and inserts guide wires into the bone. Screws are then inserted to stabilize the fracture. The surgeon may choose from a variety of types of screws, along with rigid plates or wires.

　　外科醫(yī)生仔細(xì)地將骨折塊重新對齊并在骨頭里插入導(dǎo)絲。 然后插入螺釘以固定骨折。 外科醫(yī)生可以選擇各種類型的螺釘、鋼板或鋼絲。

End of Procedure and Aftercare（手術(shù)結(jié)束及術(shù)后護理）

When the procedure is complete, the incisions are closed and the foot is bandaged and placed in a splint. The patient will not be allowed to bear weight on the foot for about six to twelve weeks. A walking brace or shoe may be required until the fracture has fully healed.

　　手術(shù)完成后，關(guān)閉切口并將腳包扎，用夾板固定。大約6～12周內(nèi)，患足不能負(fù)重。 在骨折完全愈合之前，可能需要行走支具或鞋。

（胡佰文    譯）