Swords Michael P, Penny Phillip
Orthopedic Surgery, Michigan Orthopedic Center, Sparrow Hospital, 2815 South Pennsylvania Avenue, Suite 204, Lansing, MI 48910, USA.
Department of Orthopedic Surgery, Mclaren Greater Lansing, 401 West Greenlawn Avenue, Lansing, MI 48910, USA.
Foot Ankle Clin. 2017 Mar;22(1):93-104. doi: 10.1016/j.fcl.2016.09.006. Epub 2016 Dec 21.
The treatment of calcaneus fractures is controversial. Historically, most operatively treated fractures have been approached with a lateral extensile incision requiring delay in operative treatment until swelling has improved. There is a current trend and interest in small incision approaches allowing, and in some cases requiring, earlier operative fixation. Clinical scenarios amenable to consideration for early fixation are reviewed. The sinus tarsi surgical approach and reduction techniques are outlined in detail.
跟骨骨折的治疗存在争议。从历史上看，大多数接受手术治疗的骨折采用外侧延长切口，需要等到肿胀改善后才能进行手术治疗。目前有一种趋势，人们对小切口入路感兴趣，这种入路在某些情况下允许且需要更早地进行手术固定。本文回顾了适合早期固定的临床情况。详细概述了跗骨窦手术入路和复位技术。
