Rapała K, Remiszewski A, Walkiewicz A
Oddziału Chirurgii Urazowo-Ortopedycznej Szpitala Bielańskiego w Warszawie.
Wiad Lek. 1992 Sep;45(17-18):693-6.
The studies were done in 69 patients in whom 80 intra-articular calcaneus fractures were diagnosed of tongue or crush type. In the analysis of the remote results a subjective three-grade evaluation of the results was used as reported by the patients. The good results in 60% were closely related to the reconstruction of the shape of the calcaneus and its articular surface with simultaneous restoration of functional fitness of the foot. It was found that the fractures of tongue type were to be reduced by the Westhues method, while the crush fractures were to be treated surgically or functionally. Poor results were observed in all fractures not reduced and not immobilised additionally in plaster casts.
该研究纳入了69例患者，共诊断出80例关节内跟骨骨折，均为舌形或粉碎性骨折。在远期结果分析中，采用患者报告的主观三级结果评估。60%的良好结果与跟骨及其关节面形状的重建以及足部功能适应性的同时恢复密切相关。研究发现，舌形骨折采用韦斯特休斯（Westhues）方法复位，而粉碎性骨折则采用手术或功能性治疗。所有未复位且未额外用石膏固定的骨折均观察到不良结果。
