Galmarini V, Rotolo F, Romano P, Fioretta G, Zanasi L
Divisione di Ortopedia e Traumatologia, Ospedale Fatebenefratelli e Oftalmico, Milano.
Chir Organi Mov. 1991 Jul-Sep;76(3):217-22.
The authors reviewed 55 sustentacular fractures of the calcaneus treated between 1979 and 1988. Our therapeutic objective was that of reconstructing the subtalar joint. This purpose was always achieved in a short amount of time; nonetheless, there were some cases of secondary unreduction in time (13% poor results in 4.5 years). Essex-Lopresti closed surgery was used to treat fractures with limited damage of the joint surface; open osteosynthesis with associated grafting was used to treat fractures with more than one fragment.
作者回顾了1979年至1988年间治疗的55例跟骨支柱骨折。我们的治疗目标是重建距下关节。这一目标总是能在短时间内实现；尽管如此，仍有一些病例出现了继发性复位不良（4.5年时13%的结果较差）。对于关节面损伤有限的骨折，采用埃塞克斯-洛普雷斯蒂闭合手术治疗；对于有多个骨折块的骨折，则采用切开复位内固定并联合植骨治疗。
