Fröhlich P, Zakupszky Z, Csomor L
Landeskrankenhaus Bács-Kiskun Kecskemét/Ungarn.
Unfallchirurg. 1999 May;102(5):359-64. doi: 10.1007/s001130050418.
For the closed treatment of an intraarticular fracture of the heel bone it is essential to know the 3D shape of the bone, the various types of fractures and to get skilled in reduction under an image intensifier. In our hospital we have made a comparison of 34 fractures treated with a plate and 94 treated with screws. The evaluation was made by the scores based on Merle d'Aubigne and clinical and radiological findings. The method of closed reduction and fixation with screws is easier, less dangerous for the patient and, compared to the open fixation, the results are the same or even better (good and excellent: 79.7%). As a result of gentle treatment of the soft tissues and the early reposition, the wound healing complications decreased to 2.1% compared to the 14% healing problems connected to open plating. Furthermore, cancellous grafting was necessary within the first group.
对于跟骨关节内骨折的闭合治疗，了解骨骼的三维形状、各种骨折类型并熟练掌握在影像增强器下进行复位至关重要。在我们医院，我们对34例采用钢板治疗的骨折和94例采用螺钉治疗的骨折进行了比较。评估采用基于Merle d'Aubigne评分以及临床和放射学检查结果。闭合复位并用螺钉固定的方法更简便，对患者危险性更小，与切开内固定相比，结果相同甚至更好（优良率：79.7%）。由于对软组织的轻柔处理和早期复位，伤口愈合并发症降至2.1%，而切开钢板内固定相关的愈合问题为14%。此外，第一组病例需要进行松质骨移植。
