Winkler H, Wentzensen A, Hochstein P
Berufsgenossenschaftliche Unfallklinik, Ludwigshafen.
Zentralbl Chir. 1990;115(10):619-24.
Preservation of the gliding joint and muscular strength, avoidance of contracture, and improvement of gait pattern are the major objectives in treatment of patients for severe calcaneal fracture. Follow-up checks were applied to 170 patients, with particular reference being made to the value of functional therapy. Unobstructed mobility of the talocrural joint was recorded from 90 percent of them. Occupational fitness was reduced in 25 percent of the above cases.
保留滑动关节和肌肉力量、避免挛缩以及改善步态模式是重度跟骨骨折患者治疗的主要目标。对170例患者进行了随访检查,特别关注功能疗法的价值。其中90%的患者记录到距小腿关节活动无障碍。上述病例中有25%的患者职业适应能力下降。