발골 골절

　　1발병 원인

　　직접적인 충격력, 간접적인 충격력 및 근육 유연력의 충격력 모두가 상처를 유발할 수 있습니다.

　　2발병 기전

　　말가락 앞쪽의 발골과 다리뼈 머리가 겹치는 곳은 형태가 배수와 같아서 이 이름을 얻었으며, 이는 다리뼈의 힘을 앞쪽으로 전달합니다.3부분楔골은 직접적인 충격력으로 인해 골절이 발생할 수 있으며, 간접적인 전달력도 골절을 유발할 수 있으며, 경막골격의 강력한 수축은 내측 파열성 골절을 유발합니다.

　　발골 골절은 치유 시간이 상대적으로 길며, 일반적으로 고정판을 사용하여 완전히 고정해야 합니다.6주 이상, 가장 흔한 합병증은 골절 지연 치유입니다.
　　규범적인 치료를 받고, 정기적으로 X선을复查하여 임상적인 치유가 확인된 후, 점진적으로 기능 훈련을 시작하십시오.

　　1통증 및 부종발가락을 펼치고 접는 동안 발이 통증이 명확히 느껴지며, 이 부분의 근육 조직이 적기 때문에 지역적인 부종 및軟조 출혈이 매우 명확합니다.

　　2、axial pain：longitudinal push1～3metatarsal, the middle cuneiform part is severe pain.

　　Preventing the occurrence of unexpected events and trauma is the key to preventing fractures. Stay away from dangerous environments, prohibit fighting and fighting, pay attention to protection during outdoor activities, prepare activities before exercise, and all these are conducive to the prevention of diseases.

　　General X-ray examination：

　　Any suspected fracture should be routinely X-rayed, which can show incomplete fractures, deep fractures, intra-articular fractures, and small avulsion fractures that are difficult to detect clinically, even if clinical manifestations have been evident fractures, X-ray examination is still necessary, which can help understand the type and specific situation of the fracture, and has guiding significance for treatment.

　　足舟骨骨折最好不要吃哪些食物：

　　1、avoid eating too much meat bones.

　　2、avoid overeating sugar.

　　3、avoid indigestible foods. Avoid eating yams, taro, glutinous rice and other foods that are easy to cause bloating or indigestion, and eat more fruits and vegetables.

　　1. Treatment

　　treated according to different types.

　　1、no displacement with lower leg cast fixation6weeks, if not healed, can be appropriately extended, after removing the cast to strengthen functional exercise.

　　2、displaced but can reach a satisfactory position after reduction still according to the previous method of treatment.

　　3、severely displaced including reduction failure, all need open reduction+internal fixation, and supplemented with lower leg cast immobilization.

　　（1）navicular body fracture: After reduction, it can be fixed with Kirschner wire cross.

　　（2）navicular tubercle avulsion: For smaller bone fragments, you can use10line together with the attachment of the posterior tibial muscle sutured, larger bone fragments can be fixed with small screws or Kirschner wires.

　　（3）navicular dorsal margin avulsion fracture: In patients with difficulty in fixation after open reduction, it can be excised.

　　4、ancient injury basic principles are similar to talus fracture, with traumatic arthritis or ischemic necrosis, may consider joint fusion surgery, while operating to retain the talus navicular joint as much as possible, and fusion of the navicular cuneiform joint.

　　2. Prognosis

　　in general, the prognosis is good.