Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui NT, Hong Kong SAR, China.
Arch Orthop Trauma Surg. 2007 May;127(4):265-7. doi: 10.1007/s00402-006-0194-6. Epub 2006 Jul 25.
Lateral calcaneal bulging after conservative treatment of calcaneal fracture can result in calcaneofibular impingement or shoewear problem. We describe an endoscopic lateral calcaneal ostectomy. Through the anterolateral, middle subtalar portals, and a plantar portal, the soft tissue envelop is stripped from the bone and the posterior facet cartilage can be accurately assessed. The lateral cortical bulge is burred with an acromionizer and the degenerated cartilage debrided. With this approach, the integrity of the soft tissue envelop is preserved and the amount of cartilage debridement needed is accurately determined.
跟骨骨折保守治疗后外侧跟骨膨隆可导致跟腓撞击或鞋类适配问题。我们描述一种内镜下外侧跟骨截骨术。通过前外侧、中距下关节入路以及足底入路，将软组织包膜从骨头上剥离，可准确评估后关节面软骨情况。用肩峰成形器磨除外侧皮质膨隆并清理退变软骨。采用这种方法，可保留软组织包膜的完整性，并准确确定所需清理的软骨量。
