Yue Zhenshuang, Tang Yanghua, Hu Zhongqing, Zheng Wenjie
Department of Orthopedics, Xiaoshan Traditional Chinese Medical Hospital, Hangzhou, Zhejiang, P.R. China.
Medicine (Baltimore). 2018 Feb;97(7):e9926. doi: 10.1097/MD.0000000000009926.
The calcaneal fracture without broken lateral wall is rare and the open anatomic reduction and internal fixation (ORIF) is necessary when the subtalar joint articular surface is broken and collapsed.
A 45-year-old male was admitted to our department with complaints of heel pain and swelling after falling down from 1-m-high stone. He was unable to bear weight on his right foot.
Imaging studies confirmed that it was a sanders type IIIAB calcaneal fracture without broken lateral wall and the middle part of the posterior calcaneal articular facet collapsed.
ORIF of intraarticular calcaneal fracture with the locking calcaneal plate was performed.
The patient recovered completely after 16 weeks and was able to participate in his usual work.
Based on this case and literature we reviewed, computed tomography scan (CT scan) should be used to diagnose and evaluate the severity of calcaneal fractures. Currently, ORIF was the preferred surgical treatment option when dealing with displaced intraarticular calcaneal fractures.
无外侧壁骨折的跟骨骨折较为罕见，当距下关节面骨折并塌陷时，切开复位内固定术（ORIF）是必要的。
一名45岁男性因从1米高的石头上跌落致足跟疼痛、肿胀入院。他无法用右脚负重。
影像学检查证实为无外侧壁骨折的桑德斯IIIAB型跟骨骨折，跟骨后关节面中部塌陷。
采用锁定跟骨钢板对关节内跟骨骨折进行切开复位内固定术。
患者16周后完全康复，能够从事日常工作。
基于本病例及我们回顾的文献，计算机断层扫描（CT扫描）应用于诊断和评估跟骨骨折的严重程度。目前，切开复位内固定术是处理移位性关节内跟骨骨折时首选的手术治疗方案。
