Deburge A, Nordin J Y, Taussig G
Rev Chir Orthop Reparatrice Appar Mot. 1975 Apr-May;61(3):233-48.
The authors have treated 105 articular fractures of the calcaneum. Three methods were tested: open reduction and fixation, conservative treatment with early mobilization, primary subtalar arthrodesis. The final results were satisfactory in 85% of the cases. However the three above groups were hardly comparable. Details on the radiological study of these fractures are given. The authors conclude that when osteosynthesis obtained a perfect anatomical reduction, functional results were good. But perfect reduction was rarely obtained. Final results could be improved by a better selection of the surgical cases and a better surgical technique.
作者已治疗105例跟骨关节骨折。测试了三种方法:切开复位内固定、早期活动的保守治疗、一期距下关节融合术。85%的病例最终结果令人满意。然而,上述三组很难进行比较。给出了这些骨折的放射学研究细节。作者得出结论,当骨合成获得完美的解剖复位时,功能结果良好。但很少能获得完美复位。通过更好地选择手术病例和改进手术技术,可以改善最终结果。