Cause analysis and treatment strategy of missed diagnosis of talus fractures
ZHAO Wei-hua
ZHANG Xi
GAO Jun
Abstract：Objective To analyze the causes for missed diagnosis of talus fractures, to investigate the preventive measures and to reduce the rate of missed diagnosis of talus fractures. Methods From 2007 to 2012, among the 7 cases of talus fractures which were misdiagnosed after the ifrst-time consultancy, there were 2 cases of talar body fractures and 5 cases of talar neck fractures. The diagnosis for all patients was conifrmed by CT scan and 2-dimensional and 3-dimensional reconstruction, and bone union was not achieved. Results 7 patients were followed up for a mean period of 10 months ( range;6-20 months ). The postoperative X-ray examination showed the average healing time was 14 weeks, and all patients gained bone union. The American Orthopaedic Foot and Ankle Society ( AOFAS ) score was improved from 33.4 points preoperatively to 85.3 points postoperatively. Conclusions When checking foot and ankle trauma, surgeons should pay attention to the medical history of the patients and selecting the appropriate projection conditions. In addition, the rate of misdiagnosis could be reduced with the CT examination.
Keywords：TalusAnkle jointFractureboneDiagnostic errorTomographyX-ray computed
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 716-718 )