移位型跟骨关节内骨折的手术治疗进展
梁先勇
陈志伟
1.南华大学附属第一医院骨科, 衡阳,4210012.南华大学附属第一医院骨科, 衡阳,421001
摘要：Objective To review the progress of the operative treatment for displaced intra-articular calcaneal fractures.Methods Original articles on the operative treatment of displaced intra-articular calcaneal fractures were extensively reviewed. Indications, advantages and disadvantages of each surgical method were also analyzed.Results Displaced intra-articular calcaneal fracture was complex with varied surgical methods, including percutaneous poking reduction and internal ifxation, open reduction and internal ifxation, external ifxation, balloon reduction and cement ifxation, subtalar arthrodesis, arthroscopic reduction and digital orthopedic techniques. However, open reduction and internal ifxation was the most widely used method for displaced intra-articular calcaneal fractures with a fairly high complication rate. Percutaneous poking reduction and internal ifxation, external ifxation, balloon reduction and cement ifxation were minimally invasive approaches, but they should be used carefully for the indications. Subtalar arthrodesis was not advocated for young patients, and was often used in severely displaced intra-articular calcaneal fractures and failures after the first internal fixation. Arthroscopic reduction and digital orthopedic techniques had become increasingly popular for offering a new way to the treatment.Conclusions Displaced intra-articular calcaneal fractures are severe foot injuries, while the damage degree and fracture type should be evaluated objectively. To improve clinical efifcacy and reduce postoperative complications, optimal treatment should be chosen following the principle of being reasonable, effective and minimally invasive.
关键词：跟骨骨折关节内骨折综述
分类号：R684(骨科学（运动系疾病、矫形外科学）)R683.4(骨科学（运动系疾病、矫形外科学）)
论文发表日期：2016-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：5( 279-283 )
英文信息