Soeur R, Remy R
J Bone Joint Surg Br. 1975 Nov;57(4):413-21.
The thalamus is the part of the calcaneus that supports the posterior articular facet and continues forward, becoming thinner towards the groove of the sinus tarsi. The main displacements after fracture depend on 1) a primary fracture line dividing the bone into anterior and posterior fragments, and 2) a semilunar fragment in the thalamic region. In the operation advised the sinus tarsi is exposed and the semilunar fragment is reduced by rotation in the opposite direction and is fixed to the medial fragment (the sustenaculum tali not being displaced) by a transverse Kirschner wire. The twp ,aom frag,emts are foxed bu am amtero-posterior wire. Plaster is applied and is retained for twelve weeks. Weight-bearing is not permitted for the first four weeks. There were no major complications in fifty-eight operations. The anatomical results were good: restoration of the tuber-joint angle by reduction of the semilunar fragment was maintained. The functional results were very satisfactory: permanent disability was slight or mild.
跟骨结节是跟骨的一部分，支撑后关节面并向前延续，向跗骨窦沟逐渐变薄。骨折后的主要移位取决于：1）一条将骨头分为前后两部分的主要骨折线；2）结节区域的半月形骨折块。在建议的手术中，暴露跗骨窦，将半月形骨折块向相反方向旋转复位，并用横向克氏针固定于内侧骨折块（载距突未移位）。前后两骨折块用前后方向的克氏针固定。应用石膏并保留12周。最初4周不允许负重。58例手术中无重大并发症。解剖学结果良好：通过半月形骨折块复位维持了结节关节角的恢复。功能结果非常令人满意：永久性残疾轻微或轻度。
