Mohovich F, Palombi D, Zanlungo U
Divisione di Ortopedia e Traumatologia, Regione Piemonte U.S.S.L. 62, Ospedale Maggiore S.S. Trinità, Fossano (CN).
Arch Putti Chir Organi Mov. 1990;38(2):423-37.
The authors refer their experience in management of thalamic fractures of the heel. Their series includes 22 patients with 24 fractures and comprises the 12-year period 1975-87. They assess the results based on radiological, clinical, functional and occupational criteria, emphasizing the role of the posterior subtalar joint, which imposes an anatomical reconstruction on the orthopaedist, since the final results are conditioned by its arthritic degeneration. Complex fractures with important displacement need surgical treatment with reduction and synthesis. In simple fractures with or without slight displacement, conservative treatment using cast immobilization is now the treatment of choice.
作者介绍了他们在跟骨丘部骨折治疗方面的经验。他们的病例系列包括22例患者的24处骨折，涵盖了1975年至1987年这12年期间。他们基于放射学、临床、功能和职业标准评估结果，强调距下后关节的作用，由于最终结果受其关节炎性退变的影响，这就要求骨科医生进行解剖重建。伴有明显移位的复杂骨折需要手术复位和内固定治疗。对于有或无轻微移位的简单骨折，目前首选采用石膏固定的保守治疗。
