Roukis Thomas S, Wünschel Markus, Lutz Hans-Peter, Kirschner Peter, Zgonis Thomas
Limb Preservation Service, Vascular/Endovascular Surgery Service, Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98431, USA.
Clin Podiatr Med Surg. 2008 Apr;25(2):285-99, vii-viii. doi: 10.1016/j.cpm.2007.12.002.
Sixty-six feet (62 patients) with displaced intra-articular calcaneal fractures underwent manual reduction and distraction with the use of a triangular tube-to-bar external fixation device and were retrospectively reviewed at a minimum of 1-year post-operative. Final radiographic follow-up revealed complete consolidation in all fractures, maintenance of reduction, and limited degenerative osteoarthrosis about the subtalar joint. Our results indicate that with proper application and attention to detail, restoration of calcaneal morphology using triangular tube-to-bar external fixation should be considered a viable alternative in the treatment of displaced intra-articular fractures of the calcaneus.
66例（62名患者）移位的关节内跟骨骨折患者采用三角管棒式外固定装置进行了手法复位和牵引，并在术后至少1年进行了回顾性研究。最终的影像学随访显示所有骨折均完全愈合，复位得以维持，距下关节周围的退行性骨关节炎有限。我们的结果表明，通过正确应用并注重细节，使用三角管棒式外固定来恢复跟骨形态应被视为治疗移位的关节内跟骨骨折的一种可行替代方法。
