Yu Guangrong, Yu Tao, Yang Yunfeng, Li Bing, Yuan Feng, Zhou Jiaqian
Department of Orthopaedic Surgery, Affiliated Tongji Hospital of Tongji University, NO. 389 Xincun Road, Shanghai 200065, China.
Acta Orthop Belg. 2012 Apr;78(2):216-9.
Nutcracker fractures of the cuboid are rare and often missed at an initial visit. They can be difficult to manage and convey a high risk of long-term pain in the foot. During the last six years, 6 recent cuboid fractures in 6 patients were treated at our hospital by open reduction, allogeneic bone grafting (where necessary) and internal fixation. Shortening of the lateral column of the foot existed in all these fractures. At the time of follow-up the results concerning pain and function were good in 2 and fair in 4 patients. We recommend open treatment for cuboid fractures with shortening of the lateral column of the foot or articular displacement of more than 1 mm.
骰骨胡桃夹样骨折罕见，初诊时常被漏诊。其治疗困难，且足部长期疼痛风险高。在过去六年中，我院对6例患者的6例近期骰骨骨折进行了切开复位、必要时行同种异体骨移植及内固定治疗。所有这些骨折均存在足外侧柱缩短。随访时，2例患者疼痛和功能结果良好，4例患者结果尚可。对于伴有足外侧柱缩短或关节移位超过1 mm的骰骨骨折，我们建议采用切开治疗。
