Klaue K
Universitätsklinik für orthopädische Chirurgie, Inselspital, Bern.
Ther Umsch. 1991 Dec;48(12):789-95.
Besides rheumatoid diseases, fractures are the most frequent cause of painful static problems about the hindfoot. Even when the ankle, the subtalar or the midtarsal joints are not involved directly in the fracture, they likely degenerate secondarily because of the malalignment. The aim is to restore normal morphology of the foot with reorienting arthrodeses using stable internal fixation by screws and cortico-cancellous autologous bone grafts which allow early partial weight bearing. There are three surgical approaches which can be used alone or in combination: antero-medial along the medial column, lateral (Ollier), and postero-lateral along the heel cord.
除类风湿性疾病外，骨折是后足疼痛性静态问题最常见的原因。即使踝关节、距下关节或中跗关节未直接累及骨折，它们也可能因对线不良而继发退变。目的是通过使用螺钉和皮质松质自体骨移植进行稳定的内固定，通过重新定向关节融合术恢复足部的正常形态，从而允许早期部分负重。有三种手术入路，可单独使用或联合使用：沿内侧柱的前内侧入路、外侧（奥里尔）入路和沿跟腱的后外侧入路。
