Sherman Thomas I, Guyton Gregory P
1 Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA.
Foot Ankle Int. 2018 Jan;39(1):119-128. doi: 10.1177/1071100717744003. Epub 2017 Dec 14.
Minimally invasive techniques are readily applicable to calcaneal osteotomies and have the potential to accomplish hindfoot correction equivalent to open procedures with less morbidity and pain. Use of a guidance jig makes the procedure more predictable. While most anatomic features of the procedure are the same as those with open techniques, special care must be taken to avoid neurovascular injury because there is no open exposure. Anatomic guidelines have been established for appropriately localizing the osteotomy.
Level V, expert opinion.
微创技术很容易应用于跟骨截骨术，并且有可能实现与开放手术相当的后足矫正，同时发病率和疼痛更低。使用导向夹具可使手术更具可预测性。虽然该手术的大多数解剖特征与开放技术相同，但由于没有开放暴露，必须特别小心避免神经血管损伤。已经建立了解剖学指南以适当地定位截骨术。
V级，专家意见。
