Wagstrom Emily A, Downes Jessica M
Hennepin County Medical Center, Minneapolis, MN, USA.
Department of Orthopaedic Surgery, Hennepin County Medical Center, 701 Park Avenue, Minneapolis, MN, 55415, USA.
Curr Rev Musculoskelet Med. 2018 Sep;11(3):485-494. doi: 10.1007/s12178-018-9511-2.
To review literature published in the last 3 years related to minimally invasive approaches to calcaneal fracture fixation.
Numerous randomized control trials, cohort studies, and meta-analyses have been done in the last 3 years comparing surgical treatment of calcaneus fractures. These studies indicate minimally invasive procedures decrease wound complication rates and achieve similar radiographic and clinical outcomes to open reduction internal fixation. In comparing different surgical treatment methods to non-operative treatment, operative management has increased complication rates but may lead to better functional outcomes in certain patient populations. Optimal treatment for displaced intra-articular calcaneus fractures continues to be debated. Current literature would suggest that the decision to operate be based on patient and fracture characteristics and surgeon capabilities. Minimally invasive techniques aim to improve patient reported outcomes and quality of life while decreasing complications and offer another option for surgeons in the treatment of displaced intra-articular calcaneal fractures.
回顾过去3年发表的有关跟骨骨折固定微创方法的文献。
过去3年进行了大量随机对照试验、队列研究和荟萃分析，比较跟骨骨折的手术治疗。这些研究表明，微创手术可降低伤口并发症发生率，并在影像学和临床结果上与切开复位内固定相似。在比较不同手术治疗方法与非手术治疗时，手术治疗并发症发生率增加，但在某些患者群体中可能导致更好的功能结果。对于移位的关节内跟骨骨折的最佳治疗方法仍存在争议。当前文献表明，手术决策应基于患者、骨折特征和外科医生的能力。微创技术旨在改善患者报告的结果和生活质量，同时减少并发症，并为外科医生治疗移位的关节内跟骨骨折提供另一种选择。
