Kortmann H R, Wolter D, Bisgwa F, Meffert R
Abteilung für Unfall- und Wiederherstellungschirurgie, Berufsgenossenschaftliches Unfallkrankenhaus Hamburg.
Unfallchirurg. 1992 Nov;95(11):541-6.
Sixteen fractures of the calcaneus involving the subtalar joint were treated by closed reduction and external fixation using the Ilisarov apparatus. Except for four cases in which temporary arthrodesis of the subtalar or ankle joint was used, fixation was usually only used for the calcaneus. The operative technique is described precisely. Initial follow-up examinations (on average after 1 year) show advantages over conservative treatment, e.g. better anatomical reduction. In addition, early mobilization of the joint and early weight-bearing result in less pain from disuse osteoporosis. Furthermore, several case reports demonstrate the efficiency of this method in tarsal and metatarsal fracture-dislocations.
16例累及距下关节的跟骨骨折采用Ilisarov器械进行闭合复位和外固定治疗。除4例采用距下关节或踝关节临时关节融合术外，固定通常仅用于跟骨。详细描述了手术技术。初步随访检查（平均1年后）显示出优于保守治疗的优点，例如解剖复位更好。此外，关节早期活动和早期负重可减轻废用性骨质疏松引起的疼痛。此外，几例病例报告证明了该方法在跗骨和跖骨骨折脱位中的有效性。
