ObjectiveTo explore the clinical effect of surgical treatment in complex fracture and dislocation of articulatio talonavicularis. MethodsA total of 53 cases with fracture and dislocation of articulatio talonavicularis were treated with internal fixation surgery in the condition of continuous epidural anesthesia, under the guide of C-arm X-ray machine. After reduction, the damage of the soft tissue was treated accordingly, than after the operation, the intervention of anti infection and functional recovery training were given.The patients were followed up for 3 to 6 months. ResultsOperations were successfully performed in all 53 cases.The average follow-up time were (4.1±0.5) months, with excellent in 19 cases (35.8%), good in 28 cases (52.8%), comnon in 4 cases (7.5%), poor in 2 cases (3.9%), the rate of excellent and good was 88.6%(47/53). Postoperative incision infection occurred in 1 case, and healed after treatment. ConclusionThrough the anatomical reduction of complex fracture and dislocation of articulatio talonavicularis, the joint can get good blood circulation, and promote the recovery of joint function. Its clinical effect is remarkable.

无